WA State DSHS Services for Children

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WA State DSHS Services for Children

• DSHS Services Overlap

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WA State DSHS Services for Children

• DSHS Service Regions Overlap

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WA State DSHS/Mental Health Division

• Mission
• Ensure that people of all ages experiencing
  mental illness can
• better manage their illness
• achieve their personal goals and
• live, work, and participate in their community.
• Values
• We value the strengths and assets of consumers
  and their families and seek to include their
  participation in decision making and policy
  setting.
• We respect and celebrate the cultural and other
  diverse qualities of each consumer.
• We work in partnership with allied community
  providers to deliver quality, individualized
  supports and services.
• We treat people with respect, equality, courtesy
  and fairness.

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WA State DSHS/Mental Health Division

• Childrens Service Systems

Dept of Health Maternal Child Guidance Title
V Etc.
OSPI Special Ed Readiness to Learn Etc.
Legislature/Fed Gov
DSHS
MAA
MHD
DASA
DDD
CA
JRA
ESA
Funding Sources
Legislature CMS SAMSA Other Grants
MHD
ESH
WSH
CLIP
RSN
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WA State DSHS/Mental Health Division

• Seriously Emotionally Disturbed (SED)
• A child who is experiencing a mental disorder
  that is clearly interfering with the childs
  functioning in family, school, or with peers, AND
• Meets at least one of the following criteria
• Has undergone inpatient treatment or placement
  outside of the home related to mental disorder
  with the last two years
• Has undergone involuntary treatment under chapter
  71.34 RCW with in the last two years
• Is currently served by Juvenile justice, child
  protection/welfare, special education or
  developmental disabilities
• Is at risk of escalation maladjustment due to
• Chronic family dysfunction involving a mentally
  ill or inadequate caretaker
• Changes in custodial adult
• Going to, residing in or returning from any
  placement outside of the home
• Subject to repeated physical abuse or neglect
• Drug or alcohol abuse, or
• Homelessness

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WA State DSHS/Mental Health Division

• Individualized Services
• Each person has a unique combination of strengths
  and needs
• Services should be designed to
• utilize strengths
• meet needs
• In the least restrictive manner
• Service Plans should
• Include a mix of formal services and informal
  supports
• Include age appropriate normal activities
• Be provided in a natural environment
• Family Voice and Participation
• Assessments based on family strengths and needs
• Families should be included in the entire
  planning and treatment process
• Parents Support Groups Available
• SAFE WA
• Parent steering committee
• Local groups

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WA State DSHS/Mental Health Division

• Community Outpatient Services
• (Children 0-17)

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WA State DSHS/Childrens Administration

• Mission
• The mission of the Childrens Administration is
  first to protect abused and neglected children,
  to support the efforts of families to care for
  and parent their own children safely, and to
  provide quality care and permanent families for
  children in partnership with Tribes, foster
  parents and communities.
• Protecting children, supporting families,
  providing quality care with our partners.

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WA State DSHS/Childrens Administration

• Guiding Principles
• We Believe Children Who Have Been Abused and
  Neglected Deserve Quality Services
• We Support Families and Build on Their strengths
• We Join With Foster Parents as Essential Partners
  in Caring for Children
• We Partner with Tribes and Communities in Serving
  Children and Families
• We Value Diversity and Respect
• We Encourage Excellence in All We Do

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WA State DSHS/Childrens Administration
95,900 Total Requests for Services from the
Childrens Administration 79,000 Referrals of
Abuse and Neglect Received Concerning 80,400
Children 18,900 Referrals for Voluntary
Services 37,300 CPS Referrals Accepted for
Investigation or Referred to Alternative Response
Services Concerning 45,500 Children 16,000
Children Cared for in Out-of-Home Placement
During the Year 8,000 New Placements During the
Year 7,900 Exits From Out-of-Home Care 5,500
Reunifications with Parents 1,053 Children
Adopted 534 Guardianships Completed

• Activities

Rounded to the nearest 100 Excludes
Division of Licensed Resources CPS referrals
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WA State DSHS/Childrens Administration
Special Projects include Independent
living Services Child Abuse Prevention and
Treatment Act (CAPTA) and National Center on
Child Abuse and Neglect (NCCAN) grants Office of
Childrens Administration Research (OCAR) Staff
Development Academy Training Quality
Improvement Team (QI) Accreditation Indian
Child Welfare and other federal, state and
private foundation grant funded programs.
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WA State Office of Superintendent of Public
Instruction

• Educational Vision
• to provide students with the opportunity to
  become responsible citizens, to contribute to
  their own economic well-being, and to that of
  their families and communities, and to enjoy
  productive and satisfying lives.
• - Basic Education Act

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WA State Office of Superintendent of Public
Instruction

• Scope of the Educational Structure
• Office of Superintendent of Public Instruction
• Nine Educational Service Districts
• 296 School Districts
• 2,212 School Buildings (2002 count)
• 1,015,968 Students (2002 count)
• 55,283 Teachers (2002 count)
• 107,852 administrative and support staff (2002
  count)

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WA State Office of Superintendent of Public
Instruction

• The PIE of the Whole Learner

All components are interdependent
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WA State Office of Superintendent of Public
Instruction

• The Nine Characteristics of High Performing
  Schools
• A clear and shared focus
• High standards and expectations for all students.
• Effective school leadership.
• High levels of collaboration/communication.
• Curriculum, instruction and assessments aligned
  with state standards.
• Frequent monitoring of learning and teaching.
• Focused professional development.
• A supportive learning environment.
• High levels of family and community involvement.

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WA State Office of Superintendent of Public
Instruction

• Systemic Collaboration
• School Resources (Examples)
• General health education
• Drug and alcohol education
• Support for transitions
• Conflict resolution
• Parent Involvement
• Pregnancy prevention
• Violence prevention
• Learning/behavior accommodations
• Work Programs
• Special education for learning disabilities,
  emotional disturbance, and other health
  impairments
• Special education for learning disabilities,
  emotional disturbance, and other health
  impairments

Systems of Prevention Primary prevention (low end
need/low cost per individual programs)

• Community Resources (Examples)
• Public health and safety programs
• Prenatal care
• Immunizations
• Recreation enrichment
• Child abuse education
• Early identification to treat health problems
• Short-term counseling
• Family support
• Shelter, food, clothing
• Job programs
• Emergency/crisis treatment
• Family preservation
• Mental Health Services
• Treatment programs

System of Early Intervention Early-after-onset (mo
derate need, moderate cost per individual)
Systems of Care Treatment of severe and chronic
problems (High end need/high cost per individual
programs)
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WA State Office of Superintendent of Public
Instruction

• What we do in the name of health, safety, and
  well-being are linked with teaching and learning.
  Teaching and learning cant take place if
  students arent healthy, arent physically and
  mentally fit, or arent safe
• - William Modzeliski, Director,
• Safe and Drug-Free Schools Program U.S. Dept. of
  Education

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WA State DSHS/Division of Developmental
Disabilities

• Mission
• To endeavor to make a positive difference in the
  lives of people eligible for services, through
  offering quality supports and services that are
• individual/family driven stable and flexible
• satisfying to the person and their family
• and able to meet individual needs.
• Supports and services shall be offered in ways
  that ensure people have the necessary information
  to make decisions about their options and provide
  optimum opportunities for success.

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WA State DSHS/Division of Developmental
Disabilities

• Values
• These core values guide us in fulfilling our
  mission
• Individual worth and development
• Continuity and coordination of services
• Community participation and partner
• Respect for Employees
• Services quality and performance accountability
• Nondiscrimination

The DSHS website . . . Changing Developmental
Disabilities highlights changes in societal
values and the new challenges before us, as well
as the new array of choices enabling people with
developmental disabilities to live more full and
interesting lives.
http//www1.dshs.wa.gov/ddd
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WA State DSHS/Division of Developmental
Disabilities

• Eligibility
• The criteria for eligibility are defined in state
  law.      Eligibility for Services WAC
  388-825-030     Determination of Eligibility WAC
  388-825-035      Application for Services WAC
  388-825-040
• Any individual who has a developmental disability
  that starts before age 18, results in a
  substantial handicap, and is expected to continue
  indefinitely may be eligible for DDS services.
• Developmental disabilities are
• Mental retardation
• Developmental delay (ages birth to 6)
• Cerebral palsy
• Epilepsy
• Autism
• Another neurological condition or other
  conditions similar to mental retardation
• http//www1.dshs.wa.gov/ddd/links.shtml

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WA State DSHS/Division of Developmental
Disabilities

• Early Intervention
• To be eligible, a child must have a 25 delay or
  show a 1.5 standard deviation below his or her
  age in one or more of the developmental areas. A
  child may also be eligible if he or she has a
  physical or mental condition such as Down
  syndrome that is known to cause a delay in
  development.
• http//www.wa.gov/dshs/iteip/iteip.html

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WA State DSHS/Division of Developmental
Disabilities

• Family Support
• Supports families in caring for a family member
  with a developmental disability in their home.
  The program provides families with some of the
  supports necessary to keep eligible individuals
  at home with parents or relatives.
• Medically Intensive
• Home Care Program (MIHCP) provides in-home
  private duty nursing services and medical
  equipment to children who have medically
  intensive needs. The child must be age 17 or
  younger and have complex medical needs that
  require continuous skilled care and can be
  provided safely in the home. DDD and the DSHS
  Medical Assistance Administration jointly
  administer the program.
• Voluntary Placement
• Offers a variety of supports to a child in a
  licensed placement outside the family home. The
  parents retain custody of their child while the
  child receives support services in a placement
  outside the family home in a licensed setting.
• Program Manager Linda Gil, 360 902 8440,
  gill_at_dshs.wa.gov

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WA State DSHS/Division of Alcohol Substance
Abuse

• Mission
• The Division of Alcohol and Substance Abuse
  promotes strategies that support healthy
  lifestyles by preventing the misuse of alcohol,
  tobacco, and other drugs, and support recovery
  from the disease of chemical dependency.

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WA State DSHS/Division of Alcohol Substance
Abuse

• Population Served
• Low-income (at or below 200 of the federal
  poverty level) substance-abusing youth ages 13-17
  
• Number Served
• Approximately 3,200 youth receive residential
  treatment services each biennium
• Funding
• The youth residential treatment services receives
  approximately 17 million from the State General
  Fund and Federal Medicaid
• Contact Sources
• Alcohol/Drug 24-Hour Hotline [phone]
• Stephen Bogan, Youth Treatment Lead,
• [phone], bogansp_at_dshs.wa.gov

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WA State DSHS/Division of Alcohol Substance
Abuse

• Co-occurring Disorders Chemical Dependency
  Treatment System
• Youth
• Case Management
• Youth Detoxification/Crisis Stabilization
• Mental Health Staff and Master Level Staff
• Milieu Management Training
• RSN-CD Providers Agreements
• Correctional System/Drug Courts
• Hope Act-Transitional Housing for Youth
• Provider Focus Workgroup
• Co-occurring Disorders Interagency Advisory
  Committee (CODIAC) Youth Sub-committee

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WA State DSHS/Division of Alcohol Substance
Abuse

• What Residential Treatment Services Are Provided
  For Youth?
• Level I Services
• Are designed for youth with primary chemical
  dependency problems, but without significant
  mental health or emotional problems. Length of
  stay is variable, up to 35 days. Some Level I
  Secure have higher levels of security for youth
  at risk to run from treatment.
• Level II Services
• Are designed for youth with co-occurring mental
  health and chemical dependency problems, and
  specifically where the effectiveness of chemical
  dependency treatment would likely be adversely
  affected without mental health, emotional, and/or
  behavioral problems being addressed. Mental
  health problems might include depression,
  aggression, post-traumatic stress disorder,
  family problems, or attention deficit disorders,
  or others. Providers are required to employ a
  full-time mental health counselor to work with
  staff and youth on treatment for co-occurring
  disorders. Length of stay is variable, up to
  60-90 days.
• Level II Secure Services
• Are delivered in facilities with interior and
  exterior security to prevent youth from running
  away from treatment. These programs are required
  to respond to involuntary treatment act (ITA)
  referrals, and at-risk/runaway youth referred
  under the Becca Bill. Length of stay is
  variable, up to 60-90 days.
• Recovery House Services
• Are for youth who require continued but less
  intensive treatment services due to not being
  ready to return home, or for whom home is not a
  safe, supportive environment. The focus of
  treatment is long-term recovery, community
  support, and improvement in major life
  competencies. Length of stay is variable, up to
  30-90 days. DASA contracts for Level I and Level
  II Recovery House services. Each level addresses
  the needs of youth completing that specific level
  of treatment.

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WA State DSHS/Division of Alcohol Substance
Abuse

• For Assistance In Accessing Chemical Dependency
  Services For Youth Or Updates On Services, Call
  
• Steve Brown DASA Region Two Treatment
  Manager [phone]
• Edie Henderson DASA Region Three Treatment
  Manager [phone]
• Bob Leonard DASA Region Four Treatment
  Manager [phone]
• Pamala Sacks DASA Region Five Treatment
  Manager [phone]
• Ruth Leonard DASA Region Six Treatment
  Manager [phone]
• Stephen Bogan DASA Youth Treatment Services
  Lead [phone]
• For Assistance with Pregnant Adolescents
• Sue Green DASA Womens/Special
  Services Lead [phone]
• 24-HOUR ALCOHOL/DRUG HELPLINE (206)
  722-4222 or TOLL-
  FREE in Washington 1800-562-1240