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Welcome! Transi/on to Independence Process
(TIP) System: From a Maricopa County Behavioral
Health Pilot Project to a Full Program Model
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Presenters:
Pat Hunt, Director of Child and Family Resiliency Services, Magellan Health Services, Public Sector Solu/ons
Wendy Cholfin, Manager Special Popula<ons, Magellan Health Services of AZ
Mary Jo WhiIield, MSW, VP Behavioral Health, Jewish Family & Children’s Service, AZ
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TIP System Defini/on
Transi/on to Independence Process (TIP) system: engage youth and young adults (14-‐29 years) in their own futures planning process
provide them with developmentally-‐appropriate services and supports
involve them and their families and other informal key players in a process that prepares and facilitates them in their movement toward: greater self-‐sufficiency; and
successful achievement of their goals
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Youth Transi/on to Adulthood Transi'on to Independence Process (TIP) Pilot Project of
Maricopa County
The Beginning...
• March 2008: Established Youth Transi/on to Adulthood Workgroup
Leadership Composi/on: • Children and Adult Network
Providers • Adult SMI Direct Care Clinics • Child Protec/ve Services • Casey Family Programs • Family and Consumer Run
Organiza/ons • Youth Advisory Commi`ees • Partner Stakeholders • Magellan of Arizona Networks,
Employment and Rehabilita/on, Eligibility and Licensure Departments.
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Youth Transi/on to Adulthood Transi'on to Independence Process (TIP) Pilot Project of
Maricopa County
Founda/onal Objec/ves of the Workgroup
• Encourage the Provider Community in both the Children and Adult Systems to design and implement youth transi/oning into adulthood approaches that would best suit the transi/on age popula/on that they serve.
• Follow a set of principles and guidelines that strengthen and empower youth, young adults and their family members.
• Create an environment of collabora/on as a “Community of Prac/ce” between the two systems of care and among the many stakeholders involved with transi/on age youth.
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Youth Transi/on to Adulthood Transi'on to Independence Process (TIP) Pilot Project
Threefold Purpose:
1. To understand the 16 – 24 year old age group is a dis/nct and separate culture.
Unique popula/on with special needs 2. Transi/on-‐age youth are not transi/oning into adult services but are transi/oning into adulthood.
Need for developmentally appropriate services specific to the dis/nct needs of a young person just entering adulthood
Mental health and other services have not been designed with the needs, interests or goals of young adults in mind
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Youth Transi/on to Adulthood Transi'on to Independence Process (TIP) Pilot
Project
3. Explore and determine barriers and inefficiencies in the quality and effec/veness of services in order to strengthen outcomes across (5) transi/on domains:
Employment/Career Educa/on Living Situa/on Personal Effec/veness/Wellbeing
Community-‐Life Func/oning
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Stepping Up to the Challenge Development of 4 sub-‐commiOees
Youth Consensus Sub-‐Commi`ee: Provided Youth Voice
Family Support Sub-‐Commi`ee of Families of Transi/on-‐aged Youth:
Provided Family voice
Employment Sub-‐Commi`ee: Provided employment/voca/onal recommenda/ons
I Implementa/on Sub-‐Commi`ee:
Developed an implementa/on plan for effec/ve youth transi/on from the children’s system of care to the adult behavioral health system
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The Pilot Project Implementa/on Plan
Iden/fy (2) Children’s Providers and (2) SMI Adult Direct Care Clinics to work together co-‐jointly.
Each Children’s Provider will have Transi/on Facilitators to work with at least (1) Transi/on Specialty staff from each Direct Care Clinic.
Each Children’s Provider will reach a capacity of 120/youth/young adults (Total 240 youth/young adults).
Caseloads will not exceed 15 youth.
Establish eligibility criteria and procedures and referral system for the pilot.
Launch date: January 5, 2009.
On-‐going on-‐site training, consulta/on and in-‐field supervision with Dr. Rusty Clark.
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Youth Transi/on to Adulthood Transi'on to Independence Process (TIP) Pilot
Project
Opera/onalizing the Model: How to Make It a Reality and
How Do We Adapt It?
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Jewish Family & Children’s Service The Approach
Program began at the request of DES/DCYF to meet the needs of Transi/on Age Youth in DCYF and Behavioral Health.
Focus on working with youth/young adults in areas of educa/on, career/employment, stable living situa/on, community life func/oning and personal effec/veness and wellbeing.
The teams are totally community-‐based: Transi/on facilitators have cell phones, laptops, wireless cards; Services are delivered where the youth/young adult lives.
Skills training is done with the youth/young adult in their environment through a combina/on of “at elbow” training, role playing, role modeling and coaching in the community.
Jewish Family & Children’s Service Staff Commitment
The Youth in Transi/on Facilitators are diverse racially and ethnically. Each one was recruited for a compila/on of skills and talents which makes the en/re program greater than the sum of its parts.
Why pay so much aOen/on to staff recruitment and composi/on? This is a messy job! The Transi/on Facilitators must be flexible and good at thinking on their feet.
In addi/on to aOendance at high school gradua/ons Transi/on Facilitators take youth to job interviews, college registra/ons, mee/ngs with P.O.s, apartment hun/ng, help with homework, rush them to the emergency room, intervene in the middle of the night when someone is suicidal, take them to court (to list just a few of the ac/vi/es).
Each interac/on/ac/vity is used to teach the necessary skills as iden/fied by the youth/young adult and their family and/or Child and Family Team.
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Jewish Family & Children’s Service TIP Today
Over 210 youth and young adults currently ac/ve in the Program from the Department of Economic Security/Division of Children, Youth & Families, the Arizona Department of Juvenile Correc/ons, Partners in Recovery and from the community at large.
JFCS partners with Magellan “My Life”, DES Young Adult Program, Casey Founda/on, Quality Care Network, Partners in Recovery, Phoenix One in Ten, and Crusaders for Kids to provide service and support for the youth/ young adults we serve.
Just as we partner with diverse agencies we recruit staff that reflect the diversity of the youth/young adults we serve; developing a strong racial and ethnic iden/ty is crucial to the development of personal effec/veness and wellbeing.
Program Successes:
Over 20 young adults have graduated from high school.
More than 25 young adults have enrolled in college or trade school. Two are going into their 2nd year at NAU and are living on campus.
Two young adults have completed peer training.
One young adult has recently obtained a Cer/fied Medical Assistant Cer/ficate.
Several young adults are currently living independently in their own apartments.
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Jewish Family & Children’s Service The Rewards
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All Genera/ons Adopt Technology — Young People Harness It
• Text messaging, instant messaging and email keep them in constant contact with friends, approximately double the propor/on of those ages 26-‐40. Pew Research Center polling data 2006. • They are the “Look at Me” genera/on and use social networking sites like Facebook, MySpace and MyYearbook. • “Micro-‐blogging and status upda/ng on social networks have replaced old-‐style ‘macro-‐blogging’ for many teens and adults. 2010 Pew Internet & American Life Project
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Accomplishments
Bridging Gaps between Child and Adult Systems: MY LIFE is helping to bridge gaps and overcome barriers that have tradi/onally separated the child and adult segments of the behavioral systems; which have oqen result in nega/ve outcomes for youth and families transi/oning to the adult system.
Collabora/on with Non-‐Behavioral Health Youth Care Systems: MY LIFE is also fostering collabora/on with non-‐behavioral health youth care systems including behavioral health, child welfare and juvenile jus/ce which has historically been a challenge even for adult professionals.
MY LIFE (Magellan Youth Leaders Inspiring Future Empowerment) gives youth an opportunity to use their experience, talents and voice to make positive changes in their lives; while helping others to do the same.
MY LIFE is made up of youth between the ages of 13 and 23 years old who have lived experience with mental health, substance abuse and/or foster care related issues.
Transforming Lives and Systems of Care
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Youth Transi/on to Adulthood Transi'on to Independence Process (TIP) Program
Currently, there are approximately 443 youth/young adults that have received or are receiving supports
and services through the original TIP pilot program.
Youth Transition to Adulthood Transition to Independence Process (TIP)
Program
TIP PROGRAM EXPANSION Creating environments of hope and discovery
• (3) Providers implementing full TIP Model
• (8) “TIP Informed” Providers: GMH/SA 18-21 Youth Transition Initiative
All committed to sustaining a community of practice
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Wendy Cholfin, Mgr. Special Popula/ons, Magellan Health Services of Arizona
(602) 572-‐8283 [email protected]
For More Information on the Maricopa County TIP Program, Contact:
For More Information on Magellan Health Services’ Innovative Programs, Contact:
Pat Hunt, Director of Child and Family Resiliency Services, Magellan Health Services, Public Sector Solutions Telephone: 207-225-2435 Cell: 207-754-2768 E-mail: [email protected]
For More Information on Maricopa County TIP Program Provider
Implementation, Contact:
Jewish Family & Children’s Service:
Mary Jo Whitfield, MSW, VP Behavioral Health Telephone: (602) 377-6351 Email: [email protected]
Mary Schraven, System of Care Director Telephone: (602) 509-1294 Email: [email protected]
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