MENTAL HEALTH SERVICES ACT PLANNING FOR CHILDRENS SERVICES

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MENTAL HEALTH SERVICES ACT PLANNING FOR
CHILDRENS SERVICES

• June 1, 2005
• Fiscal Essentials for Childrens Services Forum
• The Center for Human Services UC Davis
  Extension
• Presented by
• Bill Carter, LCSW
• bcarter_at_cimh.org

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(No Transcript)
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Practice Level Transformation Full Service
Partnership Program

• Characteristics of FSPPs
• Culturally Competent
• Individualized/Family Driven Mental Health
  Services Supports
• Integrated Services
• Emphasize Recovery and Resilience

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Practice Level Transformation Full Service
Partnership Program

• Components of FSPP
• Personal Service Coordinator (PSC)
• Access to Broad Range of Services and Supports
• Treatment Plan developed collaboratively by PSC,
  Family and Youth
• To include full access to continuum of services
  and supports needed

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Practice Level Transformation Full Service
Partnership Program

• Strategies for FSPP
• Employ Comprehensive Program with Research
  Support as Core Service
• County Tailored FSPP Build Your Own
• Provide Access to Continuum of Evidence-based
  and/or Necessary Services and Supports

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Strategy for FSPP- Comprehensive Programs with
Research Support

• Wraparound
• required in MHSA for children, youth, families
• Family-Centered Intensive Case Management
• Multisystemic Therapy
• Multidimensional Treatment Foster Care

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Strategy for FSPP- County Tailored FSPP - Build
Your Own

• Create a Personal Service Coordinator position
• Develop screening and assessment process to
  identify unique family and child needs
• Implement strengths-based, family-driven Service
  support planning process
• Build comprehensive continuum of evidence-based
  /or necessary services and supports
• Culturally competent

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Offering a Continuum of EBPs An Illustrative
Example Target Population Early Childhood
Outcomes Improved Social, Emotional, and
Behavioral Health

• Nurse Family Partnership
• Home/Community Based
• Incredible Years
• Parent Training
• Parent Child Interaction Therapy
• Clinic-Based
• Also see Child Welfare and Juvenile Justice
  Illustrative Example Slides for Practices

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Offering a Continuum of EBPs An Illustrative
Example Target Population Adolescents in (or
at risk of) Juvenile Justice

• Multidimensional Treatment Foster Care (MTFC)
• Family based alternative to residential care
• Multisystemic Therapy (MST)
• Home/Community Based
• Functional Family Therapy (FFT)
• Home/Community Based or Clinic Based
• Aggression Replacement Training (ART)
• Residential Clinic or School-based
• Also See Child Welfare and Co-Occurring Disorders
  Illustrative Example Slides for Practices

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Offering a Continuum of EBPs An Illustrative
Example Target Population Children in (or at
risk of) Child Welfare

• Positive Parenting Program (Triple P)
• Parent Training Family Therapy c/b
  Home/Community, School, or Clinic-based
• Family Connections
• Home/Community Based
• Early Intervention Foster Care
• Family Based alternative to residential care,
  young children
• Also See Early Childhood and Juvenile Justice
  Illustrative Example Slides for Practices

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Offering a Continuum of EBPs An Illustrative
Example Target Population Youth with
Co-Occurring Disorders

• Multidimensional Family Therapy (MDFT)
• Family Therapy Individual, Clinic Based
• Brief Strategic Family Therapy (BST)
• Family Therapy, Home/Community Based
• Also See Juvenile Justice Illustrative Example
  Slide for Practice

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Offering a Continuum of EBPs An Illustrative
Example Target Population Transition Age Youth

• Cognitive Behavioral Therapy for trauma victims
• (Mannarino Deblinger)
• Dialectical Behavior Therapy (DBT) (for females)
• CBT Interpersonal Psychotherapy - Depression
• SAMHSA Toolkits
• Assertive Community Treatment
• Supported Employment
• Family Psychoeducation
• Illness Management
• Integrated Dual Disorders Treatment
• Medication Algorithm
• Please see A Roadmap to Mental Health Services
  for Transition Age Young Women A Research
  Review, by Lynne Marsenich, www.cimh.org Also
  see all other EBPs listed in this presentation

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Practice Level Transformation Transformational
Supports

• Support Activities
• Are delivered directly to children and families
• Enable children and families to participate in
  Mental Health Services, including FSPP
• Some support activities have research evidence
• i.e. therapeutic child care programs that
  actively promote healthy development.

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Practice Level Transformation Transformational
Supports

• Family/Youth Partnership Supports
• Individual Family/Youth Advocacy
• Family/Youth Support Groups
• Training
• Outreach Information Dissemination i.e.
  Newsletter, Hot Warm Lines, Web Sites, Others
  
• Mentoring /or One-to-One Supportive Services
• (Adapted from The Practices/Activities of
  Statewide and Local Family Organizations - UACC)

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Practice Level Transformation Transformational
Supports

• Respite
• Child Care
• Transportation
• Tutoring
• Flex Funds
• Targeted Assistance for Activities
• Targeted Assistance for Basic Needs

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System Level Transformation Strategies to
Promote System Transformation

• Improving Service Quality
• Family, Youth Professional Partnership
• System Development Activities
• Cultural Competence
• Interagency Collaboration
• Evaluation

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System Level Transformation Improving Service
Quality

• Develop Capacity to
• Systematically collect analyze information and
  data to identify evidence-based practices
  consistent with
• Family Driven Services
• Cultural Competency
• Recovery Resiliency
• Facilitate stakeholder processes that inform
  decisions (i.e., continuum of services
  practices)
• Implement evidence-based practices with fidelity
• Evaluate services and supports

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System Level Transformation Family, Youth
Professional Partnership System Activities

• Administrative Activities
• Program Oversight
• Training
• Advocacy Local, State National
• Evaluation
• (Adapted from The Practices/Activities of
  Statewide and Local Family Organizations - UACC)

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System Level Transformation Cultural Competence

• Education, Outreach Anti-Stigma Campaigns
• Linguistically Competent Services
• Bilingual Practitioners
• Interpreter Services
• Targeted Campaigns to Increase and Evaluate
  Access
• Targeted Efforts to Improve Evaluate Service
  Quality Outcomes
• Support, Implement Evaluate Culturally Specific
  Services Traditional Practices

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System Level Transformation Interagency
Collaboration

• Gain Access to Cross System Services
• No Wrong Door
• Integrated Cross Agency Service Planning
• Coordinate Services
• Eliminate Duplication
• Complementary Services Supports
• Improve Continuity of Care
• Maximize Resources
• Leveraging Funding

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System Level Transformation Outcome Evaluation

• Level I Service Fidelity
• Level II Practice Level Outcomes
• Level III System Level Outcomes