ON CARE
FULL STAKEHOLDER MEETING
July 9, 2012
UPDATES
 Summer Calendars (Youth Activities, Q Center)
 Say Yes to Education Partnership
 Mather St. Community Residence
What’s in a Name?
Common assumptions
• People have only 1 first, 1 middle and 1 last
name
• Siblings have different first names
• People have different first and last names
• All people have a family name (last name,
surname) which comes last, and that usually
comes from their father
• People have names
What do our names indicate about
us?
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•
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Gender
Marital status
Birthplace
Religion
Nationality
Ethnicity
Place in family or society
CRISIS AND EMERGENCY
SERVICES WORK GROUP
Priorities and
Process Improvements
CRITERIA FOR PRIORITIZATION
 Access within 24-48 hours
 Reduce police, hospital and ER incidents
 Reduce long-term residential stays
 Ease of development
 Sustainability
PRIORITIZED STRATEGIES
 In-home Pre- and Post-Crisis Services
 Family Support
 Crisis Respite
IN-HOME PRE/POST CRISIS SERVICES
What we have . . .
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Home-base Crisis Intervention (HBCI)
Youth Emergency Services (YES)
Contact Hotline
Police/911
CPEP Mobile Outreach
Intensive Skill-building (Hillside)
Outpatient Clinic Crisis Visits (in-home)
IN-HOME PRE/POST CRISIS SERVICES
What we need . . .
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More Capacity and Quicker Response
Increase HBCI capacity
Greater influence of the parent voice
Immediate follow-up for families
Connecting Families to natural supports
Development of natural support network
Education/Training for Parents & “First Responders”
Public Awareness campaign
Access to child care during crises
IN-HOME PRE/POST CRISIS SERVICES
Opportunities for Integration/Streamlining
 Centralized “Dispatch” and follow-up
 Streamline communication between
providers during crises and transitions
 “Network” to share information on program
and case level
FAMILY SUPPORT
What we have . . .
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Contact Hotline
ACCESS Team
HBCI
Youth Emergency Services (YES)
Police/911
Comprehensive Emergency Psychiatric Program (CPEP)
Child Abuse Hotline (Local and State)
Providers’ On-call Systems
FAMILY SUPPORT
What we need . . .
 Marketing of crisis Services to police, schools,
hospitals, etc.
 Provide police/911 access to Safety/Crisis Plans
 Family Support housed at CPEP/Upstate
 Access to child care during crises
 Verbal/phone support during crises
 Ride-along Parent Partners on Mobile Team
 Psycho-pharm Counseling/Follow-up
FAMILY SUPPORT
Opportunities for Integration/Streamlining
 Parent training on crisis management and dealing
with police
 Use of “social media” to market crisis services
 Parent Partner participation in police training
 Crisis “button” on Helpline site
 Coordination of Interpretation Services
CRISIS RESPITE
What we have . . .
– Crisis Respite Services
• Booth House
• Family Support Center (at Elmcrest, for DSS population)
• Hutchings
– Planned Respite Services
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Booth House
Toomey Residential Group Homes
Casey’s Place
Family Support Center (for DSS population)
Certified Foster Homes (DSS & Waiver populations)
CRISIS RESPITE
What Limits Use of Existing Options?
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Limited operating hours
Limited to specific populations
“Free to Leave” policies
Location of facilities
Intermingling of respite youth with other youth
Youth needs too intense for respite facility
Youth must be “stable” (psychiatrically)
Lack of knowledge of options/programs
CRISIS RESPITE
What Limits Use of Existing Options? cont.)
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Limited respite resources
Lack of options for Transition Age Youth
Lack of a single access point
Logistical challenges (e.g. takes long time to arrange,
many steps in process, long applications)
 Hard to match youth’s needs with available options
 Services offered too late in service planning process
CRISIS RESPITE
Opportunities for Integration/Streamlining
Make process more accessible
 Clear and accurate info on options/programming
 Clearinghouse to manage intake, matching, follow-up
 Use of OnCare website for program descriptions
 Use standard assessment tool to determine match
Build-out Respite Continuum
 Fund an “FSC-like” option for Crisis Respite
 Establish and fund system to support families paying
natural supports for respite
CRISIS RESPITE
Opportunities for Integration/Streamlining
--Spread capacity to manage Crisis Respite needs
across existing Planned Respite continuum
--Develop a flexible structure and enhance safety
resources
 Staff assigned to help with transition or for long-term
support
 Enhance programming to engage youth and build skills
 Help with Medication Management
 Open up population options in DSS respite services
 Support flexibility so providers can work with one another to
adapt respite options to meet individual needs
“MAKE A DIFFERENCE IN THE LIFE OF
A CHILD” MONTH
One hundred years from now
It won't matter
What kind of car I drove
What kind of house I lived in
How much money I had in the bank
Nor what my clothes looked like
BUT
The world may be a little better
Because, I was important
In the life of a child.
CONTINUOUS QUALITY IMPROVEMENT
INITIATIVES
National Evaluation
Rapid Cycle Change
Residential Tracking
Newly Funded Projects
NATIONAL EVALUATION
Study Components by Level
 System level
 Service Level
 Child and Family Level
• Descriptive Study
• Child and Family Outcome Study
CHILD AND FAMILY OUTCOME STUDY
Criteria
 Age: 5 - 21
 Diagnosis: serious emotional disturbance
 Referral: newly enrolling in high end mental health
services (ie. ICN, Waiver, Residential)
 Multi Agency Need: child/youth has involvement in
two or more community agencies
Target enrollment
 270 families/65 per year
 18 families currently enrolled
CHILD AND FAMILY OUTCOME STUDY
Parent/Caregiver and Youth Interviews
 Child and family characteristics
 Change in functioning over time
We hope to learn:
 How the child’s mental health needs affect family
 What our families look like and what their needs are
• Health and well-being
• Economic and Employment
• Living Situation
RAPID CYCLE CHANGE
RAPID CYCLE PROJECTS
 Waiver Natural Supports project
 Summer School Success pilot project
– CQI & Family Driven Workgroup
– Increase family participation in evaluation process
– Hunch
• Increased communication between the family and
school will help improve summer school experience
and performance
 Share results in September
RESIDENTIAL MONITORING
 Tracking Youth in out-of-home services as of
January 2012
N=132 Kids
Gender
System
MH JO
14% 11%
DSS
69%
Race/Ethnicity
Two or
More
14%
JD
6%
Female
23%
Male
77%
White
33%
Unknown
13%
Native
American
/Alaskan
Native
1%
Black
39%
RESIDENTIAL MONITORING
Kids in Out of
Home Placement
As of January
2012
Disposition
Currently in
System as of June
1, 2012
Kids in Multiple
Placements
132
18
114
30
RESIDENTIAL MONITORING
Discharged AWOL 2
Drug Treatment 1
Successfully
discharged Home 15
Multiple placements
Discharged AWOL
Successfully
discharged Home
Current Placement
Average LOS
Range
190
140-240
774
373.9
27-869
6
1
5
Total Average
Length of Stay in
System
1,221
653.2
Range
282-995
NEWLY FUNDED PROJECTS
12 new projects started January 2012
 Demographic & Diagnostic Data Collection
 Common Outcome Measures
• Youth Developmental Assets
• Parent Strengths and Stressors
NEWLY FUNDED PROJECTS
• Served over 200 youth and young adults
Gender
School District
Young
Adults
4%
Transgender
8%
Female
34%
Male
58%
Other
30%
19-20
8%
Age
7-9
7%
0%
0% 0%
0%
SCSD
66%
10-12
7%
0%
0%
16-18
42%
13-15
36%
0% 0%
NEWLY FUNDED PROJECTS
Developmental Assets
Completed at intake
Completed at 90 days
Completed at discharge
97
35
2
Strength and
Stressors
Average score (range -2 - +2)
Environment
Total completed at
intake
Completed at
discharge
Average Score
(out of 40)
23.93
26.69
32.5
Social
Family/
Child-Well
Support Caregivers
Being
44
1.072
0.84
0.783
-0.157
2
1.5
2
1.105
1.76
CQI REVIEWS
Ready for Home
Bridging the Gap
Skills 4 Success
Planned Respite
Refugee Youth Project
Q Center
MEETING WRAP UP
 Summer Youth Activities (see calendar in your packet)
 Parent Support Meeting at Booth House, July 12
 New Common Sense Parenting class starting August 2
 Next Full Stakeholder meeting is September 10 from
3-5 p.m. due to the Labor Day holiday—no August
meeting.
THANK YOU FOR COMING!