1. NW Minnesota Council of Collaborative’s: “Our Children Succeed Initiative” Overview 2/7/07

2. Overview of the Grant: Purpose: “to develop integrated home and community based services and supports for children and youth with mental health issues and their families, by encouraging the development and expansion of effective and enduring systems of care” Purpose: “to develop integrated home and community based services and supports for children and youth with mental health issues and their families, by encouraging the development and expansion of effective and enduring systems of care” Starting date September 30 th, 2006 – September 29 th, 2012 Starting date September 30 th, 2006 – September 29 th, 2012

3. Target Population: Children and Adolescents who have a diagnosable mental health disorder; and specifically Children and Adolescents who have a diagnosable mental health disorder; and specifically 1. Children with mental health issues in out-of-home placements 2. Youth who meet the above criteria involved in 1) the juvenile justice system 2) the child welfare system 3. Youth with co-occurring mental health and substance use/abuse issues 4. Infants and young children with mental health issues 5. Young adults (18-21) with mental health issues

4. Estimated # of Children with SED in our Area 9-13% of children ages 9-17 & 13.2% of young adults in the United States have a serious emotional disturbance (www.SAMHSA.gov) 9-13% of children ages 9-17 & 13.2% of young adults in the United States have a serious emotional disturbance (www.SAMHSA.gov)www.SAMHSA.gov Therefore, it is estimated that 1,783 children over the age of 9 and young adults struggle with a serious emotional disturbance in our region… Therefore, it is estimated that 1,783 children over the age of 9 and young adults struggle with a serious emotional disturbance in our region…

5. Overarching Goal of Our Initiative: To bring our current System of Care to full scale by: To bring our current System of Care to full scale by: 1. Including all communities in the geographically large 6 county area 2. Including parents as partners and co-decision makers 3. Reaching un-served, under-served at-risk children, youth and young adults and culturally distinct populations 4. Applying Evidenced Based Models of Intervention 5. Evaluating the effectiveness of the system of care and it’s component services

6. Enhancing our System of Care An ideal System of Care Model includes 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 and their families An ideal System of Care Model includes 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 and their families Agencies compliment each another, staff work as part of a child’s care team Agencies compliment each another, staff work as part of a child’s care team

7. Objectives of the grant Objective #1: Reduce out of home and out of region placement of children with severe emotional disturbance by at least 50% by Year 6, from 237 children to 118 children. Objective #1: Reduce out of home and out of region placement of children with severe emotional disturbance by at least 50% by Year 6, from 237 children to 118 children. Objective #2: Reduce hospitalization, involvement in the juvenile justice system, homelessness and chemical abuse, while increasing employment, successful transition to higher education programs, and independent housing for youth and young adults ages 18 – 21 who experience severe emotional disturbance or co-occurring disorders. Objective #2: Reduce hospitalization, involvement in the juvenile justice system, homelessness and chemical abuse, while increasing employment, successful transition to higher education programs, and independent housing for youth and young adults ages 18 – 21 who experience severe emotional disturbance or co-occurring disorders.

8. Objectives of the Grant Objective #3: Reduce by 40% by Year 6, the rates of school truancy, school drop outs, chemical abuse and homelessness, with a focus on youth in the juvenile justice system, youth experiencing co-occurring disorders, and youth and young adults from diverse cultures with severe emotional disturbance. Objective #3: Reduce by 40% by Year 6, the rates of school truancy, school drop outs, chemical abuse and homelessness, with a focus on youth in the juvenile justice system, youth experiencing co-occurring disorders, and youth and young adults from diverse cultures with severe emotional disturbance. Objective #4: Reduce the number of young children at risk for developing a severe emotional disturbance. Objective #4: Reduce the number of young children at risk for developing a severe emotional disturbance.

9. Service Expansion Activities 1) Expand Intensive Care Management to serve an additional 100 children and youth by Year 6. 2) Expand access to Therapeutic Foster Care for 75 children by Year 6. 3) Provide outreach support/advocacy with Family Mentors to 200 children by Year 6. 4) Provide Transition to Independence services to 200 youth and young adults by Year 6. 5) Provide early childhood consultation to day care homes, pre-school centers serving over 300 families, by Year 6.

10. Specific Grant Activities Include: Diagnostic and Evaluation Services Diagnostic and Evaluation Services Care Management Care Management Development of Ind. Treatment Plans Development of Ind. Treatment Plans Indiv, Family and Group Therapy Indiv, Family and Group Therapy Home-Based Services Home-Based Services Crisis consultation & intervention Crisis consultation & intervention Respite Care Respite Care Therapeutic Foster Care Services Therapeutic Foster Care Services Transition services for the 18-21 population Transition services for the 18-21 population

11. Specific Grant Activities Include: School-based mental health assessments, consultation, training & crisis intervention School-based mental health assessments, consultation, training & crisis intervention Early childhood mental health prevention and intervention activities Early childhood mental health prevention and intervention activities Family and Peer mentors to help clients and their families with unmet needs Family and Peer mentors to help clients and their families with unmet needs System Enhancement Activities (training opport-unities on excelling in our System of Care; training/consultation on cultural diversity; training on Evidenced Based Practices) System Enhancement Activities (training opport-unities on excelling in our System of Care; training/consultation on cultural diversity; training on Evidenced Based Practices) Social marketing, providing factual information to schools and child-serving and the public about mental health issues Social marketing, providing factual information to schools and child-serving and the public about mental health issues

12. Other benefits of the grant: Liaison from the MN Dept of Human Services assigned to our project Liaison from the MN Dept of Human Services assigned to our project Linking with the state to utilize the “Hawaii” Blue Menu…an evidenced based practices data base Linking with the state to utilize the “Hawaii” Blue Menu…an evidenced based practices data base Small amount of “Flexible funding” to help children and families meet treatment goals Small amount of “Flexible funding” to help children and families meet treatment goals For our Native American population, including Native Healing Traditions related to our System of Care goals For our Native American population, including Native Healing Traditions related to our System of Care goals Tele-Mental Health Services Tele-Mental Health Services Education/Training/Outreach/Information Dissemination to Physicians, Law Enforcement, Judges, Respite Providers on general and specific children’s mental health issues Education/Training/Outreach/Information Dissemination to Physicians, Law Enforcement, Judges, Respite Providers on general and specific children’s mental health issues

13. Budget Amount of Funding: Amount of Funding: $1,000,000.00Year 1 $1,415,868.00Year 2 $1,388,318.00Year 3 $1,407,168.00Year 4 $1,385,318.00Year 5 $1,000,000.00Year 6 $7,596,672.00Total

14. Timeline Targets and Activities The first year (a planning year) is an accelerated year for relationship, infrastructure and capacity building. Some key staff are already on site, and the network of relationships needed for implementing our System of Care is in place and already operating, therefore Year One can be a year of rapid development. A summary of that information is included here: The first year (a planning year) is an accelerated year for relationship, infrastructure and capacity building. Some key staff are already on site, and the network of relationships needed for implementing our System of Care is in place and already operating, therefore Year One can be a year of rapid development. A summary of that information is included here: Year 1: All new staff identified in the budget will be hired and trained (Project Director, Governance Committee). Year 1: All new staff identified in the budget will be hired and trained (Project Director, Governance Committee).

15. Timeline Targets and Activities Year 1: Functional Family Therapy, Transition to Independence System, System of Care Orientation and Leadership Training completed (Project Director, Training Committee). Year 1: Functional Family Therapy, Transition to Independence System, System of Care Orientation and Leadership Training completed (Project Director, Training Committee). Year 1: Management Information Systems/Interagency Data system designed (Evaluation Director, Performance Outcomes Committee). Year 1: Management Information Systems/Interagency Data system designed (Evaluation Director, Performance Outcomes Committee). Year 1: Added project infrastructure developed (Northwest Council, Governance Committee, Program Director) Year 1: Added project infrastructure developed (Northwest Council, Governance Committee, Program Director)

16. Timeline Targets and Activities Year 2: Family Therapy, Transition Services, School-Based Services, Intensive Care Management added (Mental Health Center, County Social Services/child welfare) Year 2: Family Therapy, Transition Services, School-Based Services, Intensive Care Management added (Mental Health Center, County Social Services/child welfare) Year 2: Expand funding base, execute necessary agreements (Finance Committee, partners) Year 2: Expand funding base, execute necessary agreements (Finance Committee, partners) Year 3: Expand Therapeutic Foster Care (County Social Services, assisted by Mental Health) Year 3: Expand Therapeutic Foster Care (County Social Services, assisted by Mental Health)

17. Timeline Targets and Activities Year 4: Initiate tele-mental health connection with schools, counties, mental health (Mental Health Center) Year 4: Initiate tele-mental health connection with schools, counties, mental health (Mental Health Center) Year 4: Include parents as caregivers (as well as Family Mentors as in years 1-3) Year 4: Include parents as caregivers (as well as Family Mentors as in years 1-3) Year 4-6: Expand family-driven services that impact outcomes, adjust programs, focus on sustainability, further train in cultural competence, involve youth and clinically train System of Care staff in family therapy, crisis intervention and care management. Year 4-6: Expand family-driven services that impact outcomes, adjust programs, focus on sustainability, further train in cultural competence, involve youth and clinically train System of Care staff in family therapy, crisis intervention and care management.

18. Remember this grant is all about the children… One hundred years from now, it will not matter what my bank account was, how big my house was, or what kind of car I drove. But the world may be a little better, because I was important in the life of a child.“ One hundred years from now, it will not matter what my bank account was, how big my house was, or what kind of car I drove. But the world may be a little better, because I was important in the life of a child.“ -Forest Witcraft Forest WitcraftForest Witcraft

19. Contact Brenda Anderson, Project Director Northwestern Mental Health Center 603 Bruce Street Crookston, MN 56716 (218) 281-3940 banderson@nwmhc.org