1. Voice of Choice: The Values & Philosophy of Wraparound Donna Bradbury, NYSOMH Kristen Moses-Westphal, Orange County DMH Becky Johnson, Orange County DMH Rachel Ludwig, Chautauqua County DMH Daphne Brown, FTNYS

2. NYS Office of Mental Health What’s the current environment in NYS children’s services? Medicaid Managed Care design Where does Wraparound factor in?

3. Prevent unnecessary suffering Keep kids on track developmentally Reduce health care costs for adults Importance of Meeting Children’s Mental Health Needs 3

4. We wait too long to identify and treat kids Well intended, yet maladaptive responses All child-serving systems work extremely hard to help children with an emotional disturbance, but it is not enough… Children and youth can only achieve their full potential if together we operate at ours. Challenges in Helping Children 4

5. An opportunity presents itself….. 5

6. Donna Bradbury, Associate Commissioner, Division Of Integrated Community Services For Children & Families, NYSOMH Lana I. Earle, Deputy Director, Division of Program Development and Management, Office of Health Insurance Programs, NYS DOH Steve Hanson, Associate Commissioner, NYS OASAS Laura Velez, Deputy Commissioner, Child Welfare & Community Services, NYS OCFS Children’s Leadership Team

7. Medicaid Redesign Team (MRT) Behavioral Health Workgroup improvement in health outcomes sustainable cost control efficient administrative structure Medicaid Redesign 7

9. Children and youth younger than 21 Children with Serious Emotional Disturbance (SED) Children in Foster Care who have SED, are Developmentally Disabled or Medically Fragile, or have experienced trauma Children who are physically disabled and require significant medical or technological health supports Youth with Substance Use Disorders Design Target Populations May 14, 2015

10. Children and their families receive the right services, at the right time, in the right amount. 10

11. The GOAL is to… 11 Get children back on their developmental trajectory: Identify needs early Maintain the child at home with support and services Maintain the child in the community (least restrictive) Focus on recovery and building resilience!