Building on Each Others Strengths

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Building on Each Others Strengths Agreement with
the State of Idaho Building Systems of Care for
Our Children What is a Systems of Care? Revised
June, 2004
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The fundamental problem with asking a group of
individuals to think outside the box is
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They must first think about the box
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When asking individuals from different groups to
think outside the box
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They each think about their own box
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System of Care

• A comprehensive spectrum of mental health and
  other necessary services which are organized into
  a coordinated network to meet the multiple and
  changing needs of children and their families.
• Stoul, B., Friedman R. (1986)

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System of CareFramework
CHILD FAMILY
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System of CareConcept
Fundamentally, a system of care is a range of
treatment services and supports supported by an
infrastructure and guided by a philosophy

- Shelia A. Pires-
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Services and Supports (Multiple Sources)

• Every resource that partners with the system of
  care
• contributes to the network of services
• State Agencies
• County Agencies
• Community Resources
• Private Resources

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Services and Supports (State Agencies)

• Primary Source for formal or clinical
  services
• DHW
• 10 Core Services
• Substance Abuse Treatment and Prevention
• Self-Reliance
• Child Welfare
• DJC Treatment for SED committees
• SDE Day Treatment and Special Education Practice
  Guidelines

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Services and Supports (County Agencies)

• Source for structured or clinical services
• County Probation Skill-building programs

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Services and Supports (Community Resources)
Building on Each Others Strengths

• Sources for structured or informal services
• Faith-Based Programs
• Recreational Programs
• Civic Groups

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Services and Supports (Private Resources)
Building on Each Others Strengths

• Sources for structured or informal services
• Idaho Federation of Families
• Idaho Parents Unlimited
• Casey Foundation
• Businesses
• Professional Organizations
• Pro Bono Services by Individuals

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Building on Each Others Strengths
Building a System of Care (Organizing and
Coordinating the Network)
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System of CareStructure
Building on Each Others Strengths

• Certain functions must be organized to implement
  systems of care successfully.
• The structures that are created sends a message
  about values, either undermining or reinforcing
  those previously established.

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System of CareStructure
Building on Each Others Strengths

• The structures that are created have very much to
  do with how power and responsibility are
  distributed.
• They affect the subjective experiences of the
  stakeholders, that is, how families and others
  feel about the system.

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System of CareStructure
Building on Each Others Strengths

• Structure affects practice and outcomes.
• Structures need constant updating.
• New structures replace existing ones.
• No perfect or correct structures.

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INFRASTRUCTURE (Organizing and Coordinating the
Network)
Building on Each Others Strengths

• Supporting Activities For A Statewide System of
  Care
• Evaluation
• System of Care and Service delivery
• Communications and Social Marketing
• Building and Supporting the entire system
• Technical Assistance
• Professional Development
• Information Systems Alignment
• Training for all System Partners

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Control by professionals Partnerships
with families Only professional services
Partnership between
natural and professional
supports and
services Multiple case managers One
service coordinator Multiple service plans for
child Single plan for child and
family Family blaming Family
partnerships Deficits Strengths Mono
Cultural Cultural Competence
Frontline Practice ShiftsOrrego, M.
E. Lazear, K. J. (1998) EQUIPO Working as
Partners to Strengthen Our Community
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PHILOSOPHY (Vision, Goals, and Accountability)
Building on Each Others Strengths

• Core Values
• Guiding Principles
• Hallmarks of the Systems of Care Approach
• Principles of Family Support Practice
• Youth Development Principles

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System of Care Core Values

• ? Child centered and family focused
• child/family needs drive interventions
• ? Community based
• management and decision making is local
• ? Culturally competent
• value and respond to diversity

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System of Care Guiding Principles

• ?Access to comprehensive array of services
• Individualized services, with written plan
• ? Care provided in least restrictive, most
  normative environments
• ? Families full participants in all aspects
• Integrated, linked, coordinated services

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System of Care Guiding Principles

• ? Mechanisms for care management
• ? Early identification and intervention
• ? Smooth transitions to adult service system,
  when appropriate
• ? Rights protection and advocacy
• ? Sensitive and responsive to cultural differences

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An Idaho System Of Care
Building on Each Others Strengths
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If you do what you always did,you will get what
you always got.
Kenneth W. JenkinsPresident, Yonkers NY NAACP
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