Local Interagency Planning Teams

1
Local Interagency Planning Teams

• Planning for Success

Please sit at a table with other members of your
Local Interagency Planning Team.
2
Welcome

• On a sheet of scratch paper, complete the
  following statement One benefit our community
  should receive from a successful Local
  Interagency Planning Team is

3
Icebreaker

• Look around the room at the characteristics
  posted on the wall.
• Choose one that best describes you and go stand
  by it.
• With others who selected that characteristic,
  discuss why you selected it and what types of
  things you do on your team that reflect that
  characteristic.

4
Introductions

• Discuss benefits each person hopes for, and write
  a statement that best reflects your collective
  hopes.
• If we could achieve one benefit for our
  community, we would like
• Choose a spokesperson.
• Spokesperson Tell who is represented in your
  LIPT and tell your hoped-for benefit.

5
Agenda

• Introduction and Overview
• System of Care
• Benefits of SOC Philosophy
• Team Application Looking for Evidence
• Examining Our Core Beliefs
• Developing a Logic Model

6
Agenda, cont.

• Nuts and Bolts How to Achieve Your Goals
• LIPT Membership
• Case Planning Process
• Meeting Management
• Team Application Case Planning
• Summary and Conclusions

7
Goals

• Each team member will be able to describe why
  LIPTs are important, what they should accomplish,
  and what structures need to be put in place to
  maximize their potential.
• Each team will be able to set in place processes
  and structures that will facilitate the Local
  Interagency Planning Teams ability to identify
  and secure services in the community to assist
  youth with severe emotional disturbance (SED)
  and/or addictive disease (AD) and their families.

8
Housekeeping

• Phone calls
• Restrooms
• Breaks
• Lunch
• Punctuality

9
Norms

• Listen with an open mind
• Work toward solutions
• Share ideas
• Respect confidentiality
• Represent the LIPT and community as a whole, not
  personal interests
• Think of what is best for youth and families

10
System of Care

• Local Interagency Planning Teams

11
SOC Core Values (3 Cs)

• The system of care should be
• Child centered and family focused, with the needs
  of the child and family dictating the types and
  mix of services provided.
• Community based, with the focus of services as
  well as management and decision making
  responsibility resting at the community level.
• Culturally competent, with agencies, programs,
  and services that are responsive to the cultural,
  racial, and ethnic differences of the populations
  they serve.

12
Is SOC an effective approach?
Here are results of a national study of 121
programs
YES.
Bad indicators went down

• Inpatient hospital days and rates
• Placement in juvenile detention, other secure
  facilities
• Arrests
• Suicide-related behaviors

Good indicators went up

• School attendance and achievement
• Child Adolescent Functional Assessment Scale
• Sustained mental health improvements
• Family stability employment, living arrangements

13
SOC Outcomes CAFAS
The Child Adolescent Functional Assessment
Scale assesses the degree of impairment in
functioning due to emotional, behavioral, or
psychiatric problems.
CAFAS Mean Score for 22 KidsNet Youth
LOWERING the LEVEL of IMPAIRMENT
INTAKE
DISCHARGE
6 MONTH FOLLOWUP
1 YEAR FOLLOWUP
14
SOC Outcomes School
SUSPENSION
SUSPENSION
EXPULSION
EXPULSION
NATIONAL Aggregate
KIDSNET Rockdale
15
SOC Outcomes Living at Home
Intake
6 Months
Intake
6 Months
?
?
?
?
KIDSNET Rockdale
NATIONAL Aggregate
16
And in a Study From Maine

• These Indicators Went Down

• These Indicators Went Up

• Days in inpatient care 
• Cost of inpatient care
• Arrests
• Per-child cost of arrests
• Placements in juvenile detention and other secure
  facilities
• Suicide-related behaviors

• Mental health improvements sustained
• School attendance
• School achievement

17
The Maria Fenton Story

• Please think about how the ten principles might
  apply to their story.
• What would a system of care look like for Maria
  and the Fentons?

18
Looking for Evidence

• Did the LIPT use each of the SOC principles?
• For each principle, look for evidence that it was
  followed/not followed.
• Choose a spokesperson to present a short summary
  of the community story.
• Choose a spokesperson to present your findings on
  the SOC principles.

19
Team Discussion SOC Principles

• What patterns do you see in your ratings? What do
  they mean?
• What can you do to resolve I dont know items?
  (For example, is there data you should collect?)
• Do you believe in these principles? What can you
  do to build a consensus on shared beliefs?
• In which areas do we have the greatest gaps
  between beliefs and actions?
• What can you do to make sure your actions reflect
  your beliefs?

20
Logic Models

• Snapshots of an organization or team
• Typically include
• Mission and vision
• Short-term outcomes
• Long-term outcomes
• Conditions and assumptions
• Activities and services
• Inputs (resources)
• Help teams to defineand stay grounded inwhat is
  important to them
• May take many forms

21
Nuts and Bolts

• Local Interagency Planning Teams

22
Teams, Teams, Teams
23
Membership

• DFCS representative
• DJJ representative
• MHDDAD representative
• DOL Rehab. Services representative
• Public Health representative
• Local mental health service providers
• GNET/Local public schools representative
• Optional Independent courts, Family Connection,
  Other community supports (mentoring, recreation,
  housing)
• Ad hoc required Parents or parent advocates,
  when their child is discussed

24
Parent Members

• Whenever possible, the parent (or advocate)
  should be present during the entire time their
  child is discussed.
• Keep parent involved at all times.
• If a parent is unable to make a meeting,
  reschedule at a time and place that is convenient
  for them.
• Avoid no shows by discussing issues such as
  transportation and child care ahead of time.
• If necessary, the parent/advocate can participate
  by phone.
• Include the parent in at least some of the
  follow-up meetings, especially during transition
  times.

25
Organizing Structures

• Chair One to two years
• Shared leadership
• Memorandum of agreement
• Results-based facilitator

26
Case Management

• Criteria for youth to be served by the committee
• How often to review cases
• How to review cases
• Involving families

27
 Record Keeping

• Central binder for all active cases
• Community Care Plan
• Safety Plan
• Crisis Plan
• Unified Release of Information
• Agendas and minutes related to that youth
• Retention
• Case records Three years after a case closes.
• Meeting agendas and minutes Two years
• HIPAA compliant

28
 Meeting Management

• Length of meetings
• Number of cases to discuss
• Agenda
• Minutes
• Process for case planning (Meeting Preparation p.
  20 Meeting Agenda p. 21 22)

29
Case Planning Tools

• Community Care Plan
• Safety Plan
• Crisis Plan
• Unified Release of Information
• Confidentiality Agreement
• Agenda guidelines for case planning (Meeting
  Preparation p. 20 Meeting Agenda p. 21 22)
  

30
Dereks Journey
31
Marias Journey

• Determine roles for the LIPT meeting Chair,
  presenting case manager, parent, recorder, agency
  and provider representatives
• Complete all preparation steps (p. 20)
• Conduct the meeting (p.21 - 22)
• Create crisis plan, safety plan, and community
  care plan
• Write minutes for Marias portion of the meeting

32
Thank you!

• Note Add your name and contact information and
  any closing comments here.