1. A Comparison of Coordinated Services Teams (CST) and Comprehensive Community Services (CCS) Sally Raschick and Joanette Robertson Children and Families Mental Health Coordinators September 8, 2015

2. Objectives Understand Wisconsin System of Care. Compare and contrast CST and CCS. Identify strengths and barriers of working together. Answer questions and facilitate discussion. 2

3. History of creating a System of Care Parents know their children best. Strengths and needs of the family guide decisions. Teambuilding involves both parents and professionals. Wraparound teams involve a variety of systems. Natural supports are included. There is a family and community focus. 3

4. System of Care Definition Updated in 2010 (in bold) “A spectrum of effective, community-based services and supports for children and youth with or at risk for mental health or other challenges and their families, that is organized into a coordinated network, builds meanings partnerships with families and youth, and addresses their cultural and linguistic needs, in order to help them to function better at home, in school, in the community, and throughout life.” Stroul, B., Blau, G., & Friedman, R. (2010) 4

5. System of Care Concept 5 Philosophy Infrastructure Services & Supports

6. Working with children and families A philosophy or approach Family- driven and youth guided Natural supports with profession als CST 6

7. Moving beyond children and families A Medicaid benefit Variety of needs with wide range of people Shared decision- making CCS 7

8. A Medicaid benefit o Builds on the success of CST o Creates a recovery-oriented mental health system o Promotes new concepts for mental health services o Covers mental health and substance abuse o Provides services that are useful o Increases access to services o Serves adults, children, and families 8

9. Comparison Chart Categories o Overview o Participant involvement o Team building and supports o Eligibility o Processes from admission to discharge 9

10. Connecting CST to the CCS Service Array Screening and assessment Individual skill development and enhancement Employment related skill training Individual and/or family psychoeducation, including with natural supports Wellness management and recovery Psychotherapy Substance abuse treatment 10

11. Connecting CST to the CCS Service Array Service planning (development of Plan of Care) Service delivery, including crisis Travel time Documentation time Staff training time Supervision time Parent peer support and peer support 11

12. Questions and Discussion 12

13. CST Initiatives Staff Contact Information Teresa Steinmetz, Section Chief 608-266-2861 teresaj.steinmetz@wisconsin.govteresaj.steinmetz@wisconsin.gov Karen Bittner, Mental Health Services Coordinator 608-266-9308 karen.bittner@wisconsin.govkaren.bittner@wisconsin.gov Lucas Moore, Adolescent Substance Abuse Treatment Coordinator 608-267-9741 lucas.moore@wisconsin.govlucas.moore@wisconsin.gov Sally Raschick, Mental Health Services Coordinator 608-261-9313 sally.raschick@wisconsin.govsally.raschick@wisconsin.gov Joanette Robertson, Mental Health Services Coordinator 608-266-0907 joanette.robertson@wisconsin.govjoanette.robertson@wisconsin.gov Rebecca Wigg-Ninham, Mental Health Services Coordinator 608-266-5427 rebecca.wiggninham@wisconsin.govrebecca.wiggninham@wisconsin.gov 13