2. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com WrapCT PRESENTS: BUILDING A SYSTEM OF CARE UTILIZING THE WRAPAROUND PROCESS

3. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com THREE LEVELS OF CHANGE NEEDED Practice Program System

4. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com IF YOU ONLY WORK ON PRACTICE AND FAIL TO WORK ON SYSTEM AND PROGRAM YOU GET...

5. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com MARY JO MEYERS CONSULTMJM@HOTMAIL.COM TURBO CARE MANAGEMENT

6. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com IF YOU ONLY WORK ON PROGRAM AND FAIL TO CHANGE PRACTICE AND SYSTEM YOU GET…...

7. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com HARDENING OF THE CATEGORIES Agency / Program Isolation Repackaged Categorical Services Lack of Community Buy-In Lack of Cross System Involvement

8. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com IF YOU ONLY WORK ON SYSTEM AND FAIL TO CHANGE PROGRAM AND PRACTICE YOU GET…...

9. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com THE AMAZING EXPLODING TRIANGLE Unstable base of care Mid-level services in chaos Client’s experience random access to services Loss of mission, vision and value Top down without bottom up

10. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com SYSTEM OF CARE Incorporates a broad array of services and supports organized into a coordinated network Integrates care planning and management across multiple levels Is culturally and linguistically competent Builds meaningful partnerships with families and youth at service delivery and policy levels Building Systems of Care: A Primer Sheila A. Pires, Spring 2002

11. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com SYSTEM OF CARE GUIDING PRINCIPLES Comprehensive, incorporating a broad array of services and supports Individualized Provided in the least restrictive, appropriate setting Coordinated both at the system and service delivery levels Involve families and youth as full partners Emphasize early identification and intervention

12. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com...a process and an approach. not a program or a service not a program or a service WRAPAROUND IS...

13. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com CATEGORICAL APPROACH Assess Problems Look at Services that are Available… Plug Services into the Family

14. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com EXAMPLES OF A CATEGORICAL APPROACH Services reflect what’s available and has been tried rather than what’s really needed

15. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com Community Based Strengths Technology Cluster Technology Cluster Unconditional Care Normalization Cultural Competency Collaboration Needs Driven Refinancing Family Centered System Integration WRAPAROUND: A CLUSTER OF TECHNOLOGIES TIED TO CORE VALUES

16. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com STEPS FOR DEVELOPING AN INDIVIDUALIZED PLAN Step 1:Getting to Know the Family Step 2:Start Meeting with Strengths Step 3:Family Identifies Vision Step 4:Team Identifies Needs Step 5:Prioritize Needs Step 6:Action Planning Step 7:Commitments Step 8:Evaluation Step 9:Documentation Step 10:Crisis Planning

17. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com  Social/Fun  Mental Health  Family  A Place to Live  School/Work  Cultural  Spiritual  Safety  Legal  Medical/Health  Finances  Relationships  Other LIFE DOMAIN AREAS FOR PLANNING

18. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com CHALLENGES TO BEST PRACTICE Encouraging & sustaining creativity in staff generated solutions Integrating Wraparound values with mandates Evaluating current program practices against the values base Giving up own turf in order to meet needs of families Ensuring line staff have skills which match values base All staff committed to Value Base

19. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com ISSUES OF FIDELITY TO THE MODEL Current Service Driven Practice Standard QA/QI Measures Local Community Buy In Partnership Challenges and Fragmentation Leadership and Lack of Commitment to True Change

20. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com COMMITTING TO CHANGE Assure consumer access to care that is based on family choice strength based culturally sensitive enhances the quality of daily living provides families the right thing at the right time in the right way

21. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com “Vision is the ability to see beyond the majority.” Charles R. Swindel “Vision is the ability to see beyond the majority.” Charles R. Swindel

22. Learning Collaborative WrapCT.org Mary Jo Meyers-2011 consultmjm@hotmail.com WrapCT LEARNING COLLABORATIVE Our vision as a statewide learning collaborative is that all children, youth, and families are able and capable of achieving optimal levels of functioning at home, in the community, at school and/or work. WrapCT Steering Team Jan Bendall, Rushford; Ray Bieber, Child & Family Guidance; Tim Bowles, SEMHSOC; Jill Coffin, U CF S; Dorothy Contrastano, FAVOR; Tim Cunningham, Wellpath; Paloma Dee, NAMI, CT; Nicole DeRobertis, MFCGC; Hal Gibber, FAVOR; Victor Gonzalez, Wheeler Clinic-Hrtfd; Gabrielle Hall, Clifford Beers; Mary Held, Waterbury FFP; Katy Keegan, West Haven – Bridges; Virginia Lopez, Child & Family Guidance; Tim Marshall, DCF; Tabor Napiello, Wheeler Clinic-Plainville; Kristen Penta, Bridgeport Schools; Mark Plourd, Wheeler Clinic-Hrtfd, Cheryl Tedesco, Child & Family Guidance; Paige Trevethan, Bridges; National Consultants: Verneesha Banks, Wraparound Milwaukee; Mark Horwitz, Westfield State Univ.; Mary Jo Meyers, Wraparound Milwaukee Contact information for WrapCT: Tim Marshall 860-550-6531; tim.marshall@ct.gov Contact for training material: Mary Jo Meyers 414-251-7521; consultmjm@hotmail.com