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Service Coordination:A Recipe for SuccessService Coordination:A Recipe for Success
Shared philosophy among providersShared philosophy among providers
Collaborative policy and fundinginfrastructureCollaborative policy and fundinginfrastructure
Unique services and supportsUnique services and supports
![MPj04020500000[1]](data/images/img7.jpg)
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History of Service Coordination:1980’s – Celeste AdministrationHistory of Service Coordination:1980’s – Celeste Administration
Clusters – county level cross system clinical/treatmentteams.Clusters – county level cross system clinical/treatmentteams.
Participants were clinical level cross system personnel.Participants were clinical level cross system personnel.
Parents and children often not involved in plandevelopment.Parents and children often not involved in plandevelopment.
Focus on problems/concerns.Focus on problems/concerns.
Creation of state cluster fund & application process.Creation of state cluster fund & application process.
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History of Service Coordination:1990’s – Voinovich AdministrationHistory of Service Coordination:1990’s – Voinovich Administration
Family and Children First Councils created andresponsible for service coordination mechanism.Family and Children First Councils created andresponsible for service coordination mechanism.
Cross system approachCross system approach
Mandates included needs assessment of child,development of individual family plan, anddispute resolution process.Mandates included needs assessment of child,development of individual family plan, anddispute resolution process.
State Inter-systems fund application simplified.State Inter-systems fund application simplified.
SC required to access funds.SC required to access funds.
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History of Service Coordination:2000’s - Taft AdministrationHistory of Service Coordination:2000’s - Taft Administration
Methods to divert children from juvenile court andaddress at-risk unruly and adjudicated unruly youth.Methods to divert children from juvenile court andaddress at-risk unruly and adjudicated unruly youth.
Family access to referral and dispute resolutionprocessesFamily access to referral and dispute resolutionprocesses
Strengths based assessment of familyStrengths based assessment of family
Required Family Team meetings with specific timelineswhen there are emergency or planned out-of-homeplacements.Required Family Team meetings with specific timelineswhen there are emergency or planned out-of-homeplacements.
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History of Service Coordination:2000’s - Taft AdministrationHistory of Service Coordination:2000’s - Taft Administration
Shifted from child focus to family focus.Shifted from child focus to family focus.
Strong emphasis on family engagement andempowerment.Strong emphasis on family engagement andempowerment.
Required access to Family Advocates or supportperson(s).Required access to Family Advocates or supportperson(s).
Alignment of SC with many high fidelityWrapAround principles.Alignment of SC with many high fidelityWrapAround principles.
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History of Service Coordination:2000’s - Taft AdministrationHistory of Service Coordination:2000’s - Taft Administration
State inter-systems fund was discontinued andredistributed as an allocation to each mentalhealth and recovery services board (404 dollars).State inter-systems fund was discontinued andredistributed as an allocation to each mentalhealth and recovery services board (404 dollars).
ABC 404 dollars allocated based on population.ABC 404 dollars allocated based on population.
$5,681 non-behavioral health funds allocatedequally to each county FCFC.$5,681 non-behavioral health funds allocatedequally to each county FCFC.
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Service Coordination Mechanism ORC 121.37 (C)Service Coordination Mechanism ORC 121.37 (C)
What’s in the law?What’s in the law?
Each county shall develop acounty service coordinationmechanism. The countyservice coordinationmechanism shall serve asthe guiding document forcoordination of services inthe county.Each county shall develop acounty service coordinationmechanism. The countyservice coordinationmechanism shall serve asthe guiding document forcoordination of services inthe county.
![MPj04019840000[1]](data/images/img11.jpg)
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Service Coordination MechanismService Coordination Mechanism
The overarching requirements for coordinating services formulti-need children in a county:The overarching requirements for coordinating services formulti-need children in a county:
ReferralReferral
ConfidentialityConfidentiality
Parent ParticipationParent Participation
Assessment of Strengths and NeedsAssessment of Strengths and Needs
Culturally ResponsiveCulturally Responsive
Least Restrictive EnvironmentLeast Restrictive Environment
Dispute ResolutionDispute Resolution
Comprehensive Family Service Coordination Plan ProcessComprehensive Family Service Coordination Plan Process
Juvenile Court DiversionJuvenile Court Diversion
Monitoring and Tracking OutcomesMonitoring and Tracking Outcomes
![MPj04306670000[1]](data/images/img12.jpg)
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Comprehensive Family Service Plan:An Individual Family PlanComprehensive Family Service Plan:An Individual Family Plan
Requirements for developing and implementing:Requirements for developing and implementing:
Notification of and Invitation to CFSP MeetingsNotification of and Invitation to CFSP Meetings
Pre-Out of Home Placement Team MeetingPre-Out of Home Placement Team Meeting
Family RightsFamily Rights
ConfidentialityConfidentiality
Participate in Meetings and DecisionsParticipate in Meetings and Decisions
Invite Informal Supports / Family AdvocateInvite Informal Supports / Family Advocate
Approve Team Leader AssignmentApprove Team Leader Assignment
Initiate MeetingsInitiate Meetings
Dispute ResolutionDispute Resolution
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Comprehensive Family Service Plan:An Individual Family PlanComprehensive Family Service Plan:An Individual Family Plan
IN THE PLANIN THE PLAN
Goals and ServicesGoals and Services
Designation of ServiceResponsibilitiesDesignation of ServiceResponsibilities
Timelines for GoalsTimelines for Goals
Crisis and Safety PlanCrisis and Safety Plan
Regular ReviewsRegular Reviews
![MPj04097770000[1]](data/images/img13.jpg)
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Service Coordination Process:Service Coordination Process:
1. Referral from family member, agency, or provider.1. Referral from family member, agency, or provider.
2. Determine level of need.2. Determine level of need.
3. Explain SC & family rights & sign necessary documents3. Explain SC & family rights & sign necessary documents
4. Complete Strengths & Needs Assessment & Culture4. Complete Strengths & Needs Assessment & Culture
Discovery Discovery
5. Determine Family Team/Offer Family Advocate5. Determine Family Team/Offer Family Advocate
6. Develop Family Plan including Crisis and Safety Plan6. Develop Family Plan including Crisis and Safety Plan
7. Implement Plan7. Implement Plan
8. Regular follow up team meetings held to monitor8. Regular follow up team meetings held to monitor
progress progress
9. Final team meeting to address transition issues &9. Final team meeting to address transition issues &
celebrate success. celebrate success.
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The Many Names of ServiceCoordinationThe Many Names of ServiceCoordination
Service CoordinationService Coordination
Family Support TeamsFamily Support Teams
Wrap Around /Hi-Fi WraparoundWrap Around /Hi-Fi Wraparound
ClusterCluster
ICAT (Inter-systems Community Assessment Team)ICAT (Inter-systems Community Assessment Team)
ICAT (Inter-agency Clinical Assessment Team)ICAT (Inter-agency Clinical Assessment Team)
FAmily Stabilty Team(FAST)
Community Wraparound
Child and Family Team
Intersystem DiversionTeam (IDT)
Kids in Different Systems(KIDS)
Diversion AssessmentTeam (DAT)
Coordinated Care Program
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Service Coordination DataService Coordination Data
Top 7 Referral sources for 1,700 children receiving servicecoordination from 24 counties:Top 7 Referral sources for 1,700 children receiving servicecoordination from 24 counties:
1.Mental Health1.Mental Health
2.Juvenile Court2.Juvenile Court
3.Children’s Services3.Children’s Services
4.Schools4.Schools
5.Family Member5.Family Member
6.MRDD6.MRDD
7.HMG7.HMG
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Examples of County ResultsExamples of County Results
Columbiana County served 93 children and 71families in FY07 and showed a significant drop in riskassessment scores for children participating inWraparound.Columbiana County served 93 children and 71families in FY07 and showed a significant drop in riskassessment scores for children participating inWraparound.
Trumbull County in last year’s report showed thatafter children are referred to the Wraparound processthere tends to be a significant drop in hospitalizations.This year’s data shows a very similar pattern.Trumbull County in last year’s report showed thatafter children are referred to the Wraparound processthere tends to be a significant drop in hospitalizations.This year’s data shows a very similar pattern.
Erie County Results
Erie County showed statistically significantfamily improvement for 122 families in 13 of the14 life domains in the Family DevelopmentMatrix.Erie County showed statistically significantfamily improvement for 122 families in 13 of the14 life domains in the Family DevelopmentMatrix.
One domain, immigration, did not show achange because it was not indicated as aproblem area for any of the families in servicecoordination at that time.One domain, immigration, did not show achange because it was not indicated as aproblem area for any of the families in servicecoordination at that time.
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Butler County ResultsButler County Results
Butler County found that mental health services were inplace at the time of referral for 83% of the 212 childrenreferred to Wraparound.Butler County found that mental health services were inplace at the time of referral for 83% of the 212 childrenreferred to Wraparound.
Statistical analysis of Ohio Scales found that mostyouth moved from clinical to non-clinical levels in bothProblem Behaviors and Youth FunctioningStatistical analysis of Ohio Scales found that mostyouth moved from clinical to non-clinical levels in bothProblem Behaviors and Youth Functioning
Most youth were able to be maintained in a stableliving environment without frequent changes inguardianship or level of care.Most youth were able to be maintained in a stableliving environment without frequent changes inguardianship or level of care.
The majority of children who entered Wraparoundwhile in out of home placement moved to a lower levelof care.The majority of children who entered Wraparoundwhile in out of home placement moved to a lower levelof care.
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Butler County Results, cont.Butler County Results, cont.
88% of parents reported improved satisfaction with support 88% of parents reported improved satisfaction with support
75% of parents reported feeling more hopeful about the future 75% of parents reported feeling more hopeful about the future
86% of parents reported feeling more involved in their child's treatment 86% of parents reported feeling more involved in their child's treatment
86% of parents reported reduced safety issues in the home 86% of parents reported reduced safety issues in the home
88% of parents reported improved overall family functioning 88% of parents reported improved overall family functioning
88% of parents reported improved behavior in school 88% of parents reported improved behavior in school
88% of parents reported improved child behavior in the home 88% of parents reported improved child behavior in the home
SService coordination mechanism for multi-system involved youthSService coordination mechanism for multi-system involved youth
EEvidence based model of NationalWrapAround InitiativeEEvidence based model of NationalWrapAround Initiative
IImplemented in 2006IImplemented in 2006
FFamily Council - Funded by SCC
3 FTE WrapAround Service Coordinators
1 FTE Clinical Reviewer/WrapAround Service Coordinator
1 FTE & 1 PT Family Advocate
1 FTE Supervisor
CChild & Adolescent Behavioral Health
CCommunity Services of Stark County
154 youth referred in SFY 08
69% male
Mean age of 13.7
Median age 15
Race
FFamily Court = 40%FFamily Court = 40%
MMental Health and Alcohol & Drug = 15%MMental Health and Alcohol & Drug = 15%
FFamily self-referral = 14%FFamily self-referral = 14%
JJob & Family Services = 6%JJob & Family Services = 6%
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Questions?Questions?