1. ORIENTATION TO IDAHO’S CHILDREN’S MENTAL HEALTH REFORM PROJECT & STATUS REPORT January, 2016 1

2. Objectives of this Presentation  Provide background/context of the Jeff D case  Describe the Jeff D Settlement Agreement  Answer: How will Idaho meet the terms of the Agreement?  Answer: What is the role of advocates in the System of Care that is in development? 2

3. History  Case started in 1980  Dismissed in 2007  Overturned on appeal in May 2011  Federal District Court encouraged parties to meet and consult instead of litigate  Formal mediation September 2013 to December 2014  Settlement Agreement as Outline of New System of Care 3

4. How are we going to do this?  Charter: The State will develop and implement a sustainable, accessible, comprehensive, and coordinated service delivery system for publicly-funded community- based mental health services to children and youth with serious emotional disturbance (SED).  Project Plan: now until 2020 4

5. Timeline 5

6. As an Advocate, what does this mean to me? 6

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8. Communication Pathways 8 Stakeholder Representatives will communicate with its constituency and will be the “source” for stakeholder input into the workgroup. Interactive web application in development for stakeholders to submit questions and obtain response Constituents’ questions will contribute to development of FAQ documents for external websites

9. Status Report  New website and branding! proposed URL (still in development): www.YouthEmpowermentServices.idaho.gov Empowering the mental wellness of children, youth and their families 9

10. Status Report (continued) 10

11. Status Report (continued)  Medicaid exploring best options  Eligibility issues  New benefits (14)  Forecasting of Class Membership size is underway  Proxy indicators  Establish baseline and refine each year  CANS Tool  Replaces PECFAS/CAFAS  Reveals functioning “score”: SED criteria and Intensive Care Coordination (ICC) criteria  Workforce Development Workgroup  Address need for new competencies  Address shortages and access issues 11

12. Status Report (continued) Services and Supports Workgroup Definitions of services/supports and associated requirements Estimation of current gaps in system Quality Management, Improvement and Accountability Workgroup (QMIA) Development of cross-agency definitions, standards, operations without duplication; moving toward uniform data variables New infrastructure being explored Additional workgroups in development: Transition Automation Resource Acquisition 12

13. Highlights of System of Care in Development Children & Adolescent Needs & Strengths (CANS) Child and Family Teams Intensive Care Coordination (ICC) level of care Wraparound Treatment Planning Process Exploring: Eligibility as a Class Member New benefits for Medicaid coverage Modifications to infrastructure for improved effectiveness/efficiency 13

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15. Questions? Pat Martelle, Children's Mental Health Reform Project Manager, 208-334-6680, martellep@dhw.idaho.gov