IDAHO COUNCIL ON CHILDRENS MENTAL HEALTH

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IDAHO COUNCIL ON CHILDRENS MENTAL HEALTH
VISIT THE ICCMH WEB SITE AT www.idahochild.org
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16-2402. Legislative purposes.

• (1) Emphasizes family support and involvement.
• (2) Mental health services are one part and
  multiple agencies will cooperate and collaborate
• (3) Services and parents retain custody of their
  child.

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16-2402. Legislative purposes.

• (4) a b Parent involvement
• d Efficient, coordinated and collaborative
• f, g, i, Community based services
• (5) Applies to state and private providers

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16-2404. Community services and supports and
interagency collaboration.

• (1) Lead agency. DHW for community services and
  State Dept of Ed for Education
• (2) Planning. Multi agency responsibility

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16-2406. Access to services.

• Voluntary through an agreement between parents
  and the Dept
• Transfer of custody not necessary for out of home
  care
• Parents may be charged for services provided
  16-2405 and 16-2406(3)
• Involuntary proceedings only until parents
  consent 16-2409

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Jeff D. Lawsuit

• Children and adults at State Hospital South
• Children in out of state treatment facilities
• Need for community based care to prevent
  hospitalization and out of state treatment

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Building on Each Others Strengths A SAMHSA
Systems of Care Cooperative Agreement with the
State of Idaho
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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
Building on Each Others Strengths

• 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.

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System of CareFramework
Building on Each Others Strengths
CHILD FAMILY
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System of CareFramework
Building on Each Others Strengths
CHILD FAMILY
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System of CareFramework
Building on Each Others Strengths
CHILD FAMILY
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System of CareFramework
Building on Each Others Strengths
CHILD FAMILY
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System of CareFramework
Building on Each Others Strengths
CHILD FAMILY
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System of CareFramework
Building on Each Others Strengths
CHILD FAMILY
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System of CareFramework
Building on Each Others Strengths
CHILD FAMILY
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System of CareFramework
Building on Each Others Strengths
CHILD FAMILY
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System of CareFramework
Building on Each Others Strengths
CHILD FAMILY
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System of CareConcept
Building on Each Others Strengths
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)
Building on Each Others Strengths

• 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)
Building on Each Others Strengths

• 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)
Building on Each Others Strengths

• 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
INFRASTRUCTURE (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, that is, they
  cannot be left to happenstance.
• The structures that are created sends a message
  about values, either undermining or reinforcing
  the values and principles that have been adopted.

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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.
• The structures that are created affect the
  subjective experiences of the stakeholders, that
  is, how families, youth, providers, staff,
  administrators, 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 to be evaluated and modified, if
  necessary, over time.
• New structures replace existing ones some
  existing ones may be worth keeping, and some may
  be more difficult to replace than others.
• There are 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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An Idaho System Of Care
Building on Each Others Strengths
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An Idaho System Of Care
Building on Each Others Strengths
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An Idaho System Of Care
Building on Each Others Strengths
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An Idaho System Of Care
Building on Each Others Strengths
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Whats a Cooperative Agreement?
Building on Each Others Strengths

• New Federal Funding Scheme
• Larger Federal Role in Decisions
• More Monitoring Visits
• Longer Cycle
• Continuation of support based on documented
  performance, not plans
• Requires specific staff
• Requires participation in National Evaluation
• Requires participation in Social Marketing

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Whats Idahos Cooperative Agreement?
Building on Each Others Strengths

• Titled Building On Each Others Strengths
• A statewide proposal
• Staggered Matching Funds Required
• State match includes services and in kind
• Designed to complement current SOC efforts
• Develop the infrastructure for system of care

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Whats Idahos Cooperative Agreement?
Building on Each Others Strengths

• Funds available for technical assistance,
  training and evaluation, social marketing
• Evaluation Staffing and Data-based Decision
  Making
• Looks for system sustainability
• Encourages in kind match funding as a
  performance indicator

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What BOEOS Can Do
Building on Each Others Strengths

• Build on current efforts
• Develop the infrastructure for system of care
• Develop and provide training/ technical
  assistance for the entire system of care
• Idaho specific evaluation
• National evaluation

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What BOEOS Cannot Do
Building on Each Others Strengths

• Supplant current program funding
• Temporarily inflate service delivery

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The ICCMH as Governance Body
Building on Each Others Strengths

• Governance bodies are described as
• A group of individuals with the authority to make
• policy decisions for the system of care
• Representatives of the public entity which was
• awarded the Federal funds
• Representatives of collaborating State or
  community
• child-serving agencies
• Family Members
• Other community representatives, including those
• from racial or ethnic minority populations

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The ICCMH as Governance Body
Building on Each Others Strengths

• Governance bodies typically
• Develop and uphold formal agreements and
  memoranda of understanding between the
  collaborating child-serving agencies, including
  those from the State and other relevant political
  subdivisions of the State
• Hold the system of care accountable for meeting
  high standards of care including
• Standards for cultural competence and family
  involvement
• Standards of practice that have been shown to be
  effective through research and evaluation

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The ICCMH as Governance Body
Building on Each Others Strengths

• Governance bodies typically
• Insure cooperative agreement funds are expended
  appropriately within the community
• Are aware of relevant reform efforts in the
  State
• Incorporate each reform into the system of care
  as required, or appropriate
• Regularly monitor clinical and functional
  outcomes to insure that services are making a
  positive contribution to the well-being of the
  children and their families

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BOES YEAR ONE EVENTS SUMMARY
Building on Each Others Strengths
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BOES YEAR TWO EVENTS SUMMARY
Building on Each Others Strengths