1. Children’s Mental Health & Family Services Collaboratives ~ Minnesota’s Vision ~

2. Integrated Service System Integrated Local Service Delivery System: Coordination of funding streams & the delivery of services between agencies (MS 124D.23 Subd.4) Integrated Service System: A coordinated set of procedures established by the collaborative for coordinating services & actions across categorical systems (MS 245.492 Subd.9)

3. Bringing service systems together to coordinate & integrate services for children & families Reduce system fragmentation Simplify Eliminate “silos” Improve the efficiency & use of existing resources Why do this? Respond to needs rather than service categories Offer a continuum of services

4. Child & Family  Integrated Services  Outreach & Early Identification  Multi-Agency Plan of Care  Integrated Funding  Collaboration between Parents & Partners  Coordinated Assessments  Comprehensive Planning Process CountySchool Public Health Corrections Community Action Program / Head Start Mental Health What are collaboratives? Child-Service Systems Changing How They Deliver Services

5. Shared Services & Processes Coordinating Care & Services Service coordination is the process by which the different agencies who are involved with different aspects of the area of concern search for & implement proposals that go beyond what each individual agency would ordinarily have been able to do. Cross agency service coordination implies: communication among agencies understanding the differences & how they are related to the current issue search & propose solutions plan share resources & risk Service coordination is an ongoing process of communicating, goal setting, evaluating & re-evaluating, towards a shared vision

6. Children’s Mental Health Collaboratives The legislature found that children with emotional or behavioral disturbances or who are at risk of suffering such disturbances often require services from multiple service systems including mental health, social services, education, corrections, juvenile court, health, & economic security & that “in order to better meet the needs of these children, it is the intent of the legislature to establish an integrated children's mental health service system.” The legislature defined the integrated service system & the expected components of this integrated service system. "Integrated service system" means a coordinated set of procedures established by the local children's mental health collaborative for coordinating services & actions across categorical systems and agencies that results in: (1) integrated funding;(2) improved outreach, early identification, & intervention across systems; (3) strong collaboration between parents & professionals in identifying children in the target population facilitating access to the integrated system, & coordinating care & services for these children; (4) a coordinated assessment process across systems that determines which children need multiagency care coordination & wraparound services; (5) multiagency plan of care; &(6) individualized rehabilitation services Target Population Operational Target Population Children up to age 18 with an emotional or behavioral disturbance or who are at risk of suffering an emotional or behavioral disturbance as evidenced by a behavior or condition that affects the child's ability to function in a primary aspect of daily living including personal relations, living arrangements, work, school, & recreation, & a child who can benefit from: (1) multiagency service coordination & wraparound services; or (2) informal coordination of traditional mental health services provided on a temporary basis. Children between the ages of 18 & 21 who meet these criteria may be included in the target population at the option of the local children's mental health collaborative. A population of children that the local children's mental health collaborative agrees to serve and who fall within the criteria for the target population. The operational target population may be less than the target population.

7. Family Services Collaboratives Family Service Collaboratives are mandated to design an integrated local service delivery system. The components of the integrated local service delivery system may include: Outreach & early identification of children & families in need of services Interventions across service systems on behalf of families Coordination of services that eliminate the need to match funding streams, provider eligibilities, or clients with multiple providers Coordination of assessment across systems to determine which children & families need coordinated multiagency services Integrated funding of services Coordination of transportation services in order to improve access to services Provision of initial outreach to all new mothers Provision of periodic family visits to children who are potentially at risk Development of multi-agency service plans Coordination of unitary case management Children birth to age 18, or birth through age 21 for individuals with disabilities B-6 Additional early childhood focus: The collaborative shall describe the community plan for serving pregnant women & children from birth to age six. Primary target population: The mandate is to provide a continuum of services for children B-18, or through age 21 for individuals with disabilities.

8. Systems of Care Children’s Mental Health Collaboratives represent the system of care approach to children’s mental health in Minnesota. The Minnesota Comprehensive Children’s Mental Health Act defines the local system of care as “services that are locally available to the child & the child's family. The services are mental health, social services, correctional services, education services, health services, & vocational services. “ The federal government, through its Substance Abuse & Mental Health Services Administration (SAMHSA) additionally defines systems of care as: “A system of care is a coordinated network of community-based services & supports that are organized to meet the challenges of children & youth with serious mental health needs & their families. Families & youth work in partnership with public & private organizations to design mental health services & supports that are effective, that build on the strengths of individuals, & that address each person's cultural and linguistic needs. A system of care helps children, youth & families function better at home, in school, in the community & throughout life. Systems of care is not a program — it is a philosophy of how care should be delivered. Systems of care is an approach to services that recognizes the importance of family, school & community, & seeks to promote the full potential of every child and youth by addressing their physical, emotional, intellectual, cultural & social needs. “ The core values of systems of care are: Child centered & family driven Community based Culturally competent

9. Introducing enduring creativity, innovation & change into an organization is about beginning a journey. Ideally, there is a consistent map that allows people to navigate on this journey, & there needs to be the flexibility for people to deal with the varying territory they will have to cross.“ Jonne Cesarani, in 'Big Ideas' Strategic PlanningStrategy Innovation AnalyticalCreative Numbers-drivenInsights-driven Company-centricMarket-centric Logic/LinearHeuristic/Iterative Today to tomorrowTomorrow to today Extend current valuesCreate new values Fit the business modelCreate a new business model