SB 163

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SB 163

• WRAPAROUND

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Where we are and where we are going?

• Status of Wrap in California
• Successes noted
• Challenges noted
• Whats on the horizon?

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SB 163 Wraparound

• SB 163 allows counties to provide service
  alternatives to eligible children in, or at risk
  of, group home care by using the State foster
  care maintenance payment to provide wraparound
  services.

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Overview

• Permits flexible use of State FC funds for
  intensive individualized services so children
  stay with/return to families
• All counties eligible to participate

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Overview

• Target Population Children placed/would be
  placed in group home at RCL 10-14
• Plan Counties submit plan consistent with
  Wraparound Standards
• Training All staff complete approved Wraparound
  training
• SOC/FSP Coordination with Childrens System of
  Care and Full Service Partnership plans

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FUNDING
NEW FUNDS
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Funding

• Flexibility in using specific amount of State FC
  funds and county match
• Specific number of service allocation slots

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Service Allocation Slots

• Amount of funds available to pay for
  individualized intensive Wraparound package for
  child/family
• One Wrap slot may serve more than one child
• All Wrap slots pooled
• Reimbursement rates RCL rate minus cost of
  concurrent placement

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FEDERALLY ELIGIBILE CHILDREN IN SB163 WRAPAROUND
AND CONCURRENT PLACEMENT
Wraparound Rate for Federally Eligible Child in
SB 163 RCL 13
5,994 Less FMAP of 50
- 2,997 Dollars to SB 163 Flexible Fund 2,997
Federally Eligible Child in Concurrent Placement
Placement Costs 1000 IV-E 50 share
500 Remainder to be paid from SB 163
Flexible Fund.
CFL No. 01/02-51 and Errata provides
instructions for the claiming of the these costs.
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Wraparound Standards

• Program/Practice
• Education, Training Staff Development
• Human Resources
• Fiscal
• Evaluation Outcomes
• Administration

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CALIFORNIA COUNTIES WITH SB 163 WRAPAROUND
SERVICES

• 1. Alameda 2. Butte3. Contra Costa4. Del
  Norte5. El Dorado6. Fresno7. Humboldt8.
  Kern9. Los Angeles10. Mendocino11. Mono12.
  Monterey13. Napa14. Orange15. Placer
• 16. Plumas

• 17. Riverside18. Sacramento19. San
  Bernardino20. San Diego21. San Francisco22.
  San Joaquin23. San Louis Obispo24. San
  Mateo26. Santa Barbara27. Santa Clara26. Santa
  Cruz28. Shasta29. Siskiyou30. Solano31.
  Sutter32. Tehama33. Ventura

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Key Components in Wrap

• Child and family teams

• Single plans for multiple systems

• Strength-based point of service planning

• Cross system integration

• Incorporation of natural and informal resources

• Unconditional care

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Key Values in Wraparound
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Defining WrapAroundThree Levels of Definition
Practice
Program
System
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Defining WraparoundPractice Implications

• Strengths/assets from first conversation
• Blending of formal informal resources in
  planning decision making
• Targeted activities designed to meet needs spoken
  by family
• Flexing existing service categories delivery
  based on spoken needs
• Assure consumer voice, choice preference
• Care in context of families home communities

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Defining WraparoundProgram Implications

• No reject no eject contracts or practice
• Flexible service delivery which builds on family
  system community resources
• Maximizing informal resources
• Values base in terms of results for families
• Changing staff roles to assure that comprehensive
  focus of care is met
• Partnerships with consumers in planning,
  developing delivering response

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Defining WraparoundSystem Implications

• Integration across systems to assure flexible
  response through every door
• Building accessible resource pools
• Maximizing opportunities for partnerships
• Point of service contracting
• System decision making in context of care
• Sanctioning individual family teams as full
  decision makers
• Building a strength focus in monitoring activities

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Mental Health Services Act
The outcomes that the California Department of
Mental Health wants to achieve as a result of the
MHSA.

• People have things to do which are important to
  them, including things such as employment,
  vocational training, education, and social and
  community activities.
• People are able to have safe and adequate
  housing, children are safe living with their
  families and there are fewer numbers of people
  who have no place to live.
• People have family and friends to help them and
  to be with them and provide support for them.

• People can get the help they need when and where
  they need it.
• There are fewer adults in the jails and young
  people in juvenile halls who have serious mental
  health problems.
• Most mental health services and supports are
  voluntary, where the person chooses the services
  and supports they want. There are less
  involuntary services which are services such as
  having to be in a hospital or a locked
  institution, or children having to live in a
  place which is not their own home or with their
  own family.

Source A Readers Guide to Mental Health
Services Act Community Services and Supports
Three-Year Program and Expenditure Plan
Requirements
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Key Structure Options for Supporting Wraparound

• Community team
• Administering agency
• Lead agencies
• Service coordinators
• Child and family teams
• Specialized providers
• Informal community supports

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Wraparound Support Structure

• Inverting the structure
• All levels support families
• Connections between families, program community
• Building a new agency system culture

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Community Team Composition

• Systems Representatives
• Parents
• Cultural leaders
• Business leaders
• Clergy
• Family members
• Youth
• Other

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Children in Wraparound

• In, or at risk of, high-level Group Home
  Placement and
• Wards of the Court (WI 602)
• Dependents of the Court (WI 300)
• Certified eligible for Mental Health services
  (AB3632, 27.6, etc.)
• Have been adopted and are eligible for the
  Adoption Assistance Program (AAP).

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Questions Contacts

• Cheryl.Treadwell_at_dss.ca.gov
• Patrick.Kelliher_at_dss.ca.gov
• wraparound.questions_at_dss.ca.gov