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Children’s Mental Health ReformOverview: North Sound Mental Health Administration
Prepared by Julie de Losada, M.S./CMHS 10.30.12
Drivers NSMHA
Regional Children’s Executive Policy Team (CPET)
T.R. Settlement Agreement (2012)
2SHB1088 (2007) -Wraparound
2SHB2536 (2012) - EBPs
2SHB2264 (2012) – Child Welfare Reform
SYSTEMS OF CARE FRAMEWORK
•Community-Based•Coordinated Network•Partnerships with Families•Culturally & Linguistically Competent
A spectrum of effective, community-based services and supports for children and youth with or at risk for mental health or other challenges and their families, that is organized into a coordinated network, builds meaningful partnerships with families and youth, and addresses their cultural and linguistic needs, in order to help them to function better at home, in school, in the community, and throughout life.
NEW: SIX KEY ADDITIONS
•Allied systems will have specific instructions on how and when to refer to RSN to request intensive services.
Enhanced Cross System Referral Process
•One 26 question retrospective
•One 63 in person
Child and Adolescent Needs and Strengths
Assessment Tool (CANS)
•Based on CANS score, MUST be offered Wraparound.
•Ages 0-21
Expanded Child and Family Teams (CFTs) aka
Wraparound
•Employment, education, training, housing, natural supports
•Plan linked across systems –supported transitions
Specific Services for Transition Age Youth
(ages 16-21)
•Most likely based on CANS data
•Start June 2013
Child/Family Specific Performance
Improvement Project
•Not yet in our contract, but coming…
•Works with family post crisis for a defined period of time.
Child/Family Specific Mobile Crisis Intervention and Stabilization Services
CHILD WELFARE RFP: FAMILY SUPPORT AND RELATED SERVICES 2SHB2264 (2012)
A. Creating a flexible, accountable community-based system of care that utilizes performance-based contracting, maximizes the use of evidence-based, research-based, and promising practices, and expands the capacity of community-based agencies to leverage local funding and other resources to benefit children and families served by the department;
B. Improving child safety, child permanency, including reunification, and child well-being outcomes through the collaborative efforts of the department and contracted service providers and the prioritization of these goals in performance-based contracting; and
C. Implementing performance-based contracting in a manner that supports and complies with the federal and Washington state Indian child welfare act.
OpportunitiesIncreased care coordinationIncreased community-based servicesIncreased trauma focused careIncreased data informed decision makingBetter focus on unique needs of 16-21y/o
Better parent/caregiver involvementBetter cross system coordinationAbility to develop expert-level workforceIncreased resiliency!
StrategiesRFQ – Late Spring 2013Build on current workforce knowledgeRobust training to counter model driftLearning collaborativePotential parent partner agencyMore youth in advisory rolesCPET
◦System mapping◦Dashboard◦Cross-system SOC commitment◦SOCI
Draft Planning NeedsCommunity stakeholder meetingsEstimating future capacity needDevelop training planCANS flowDetermine relevance of CALOCUS“Child” vs. “Adult” providersCoordination w/ existing crisis systemProcess for monitoring outcomes
◦ MH system◦ Allied systems◦ Family/youth◦ Community
