Preventing Family CrisisPreventing Family Crisis

Finding the Assistance that Finding the Assistance that your Family Needsyour Family Needs

Outline of SessionOutline of Session

How to find services that your child How to find services that your child and family needsand family needs

Strength-based and family and child Strength-based and family and child driven approach to servicesdriven approach to services

Explanation and examples of various Explanation and examples of various services for children and familiesservices for children and families

Community Service BoardsCommunity Service Boards

CSBs are the local government agencies CSBs are the local government agencies responsible for mental health, mental responsible for mental health, mental retardation and substance abuse services retardation and substance abuse services for citizens in their communities.for citizens in their communities.

CSBs are mandated by the Code of CSBs are mandated by the Code of Virginia (37.2-500) to provide “core” Virginia (37.2-500) to provide “core” publicpublic behavioral healthcare services to children behavioral healthcare services to children and adults meeting specific eligibility and adults meeting specific eligibility criteria. criteria.

CSB Core ServicesCSB Core Services

Core services as defined by code consist of Core services as defined by code consist of emergency services and care emergency services and care management “subject to the availability of management “subject to the availability of funds”. funds”.

Virginia code also says that other core Virginia code also says that other core services may include inpatient, out-services may include inpatient, out-patient, day support, residential, patient, day support, residential, prevention, early intervention and other prevention, early intervention and other services and supports that are necessary services and supports that are necessary to assist citizens.to assist citizens.

CSB Required RolesCSB Required Roles

In order to ensure that the best interests of In order to ensure that the best interests of children, families and the state are children, families and the state are served, CSBs are required by code to served, CSBs are required by code to fulfill these roles:fulfill these roles:

Providers of core services and Providers of core services and supportssupports

Mangers of Care and advocatesMangers of Care and advocates Gatekeeper-local point of accountability Gatekeeper-local point of accountability

and responsibility for services and and responsibility for services and resources resources

System of Care System of Care

Approved by the national Substance Abuse Approved by the national Substance Abuse and Mental Health Services Administration and Mental Health Services Administration (SAMHSA) (SAMHSA)

Virginia has chosen this philosophy of care Virginia has chosen this philosophy of care for guiding services provided to children for guiding services provided to children and their families.and their families.

Core Values include: Core Values include: Child-centered and family-driven Child-centered and family-driven Community-based (wrap-around) careCommunity-based (wrap-around) care Culturally CompetentCulturally Competent

System of CareSystem of Care

VALUES and PRINCIPLES:VALUES and PRINCIPLES: Comprehensive array of services and supportsComprehensive array of services and supports Individualized service plans specifically tailored to Individualized service plans specifically tailored to

children and family’s strengths and needs children and family’s strengths and needs Families, youth and any other person that the Families, youth and any other person that the

family invites are full participants in all aspects family invites are full participants in all aspects and the planning and delivery of servicesand the planning and delivery of services

Integrated services (providers and family- all on Integrated services (providers and family- all on same page)same page)

Care management providedCare management provided Early identification and interventionEarly identification and intervention Receipt of services without regard to race, Receipt of services without regard to race,

religion, national origin, gender, etc. religion, national origin, gender, etc.

Wraparound ApproachWraparound Approach

Wraparound is a family-centered and Wraparound is a family-centered and strength-based approach that utilizes strength-based approach that utilizes a highly individualized planning a highly individualized planning process to help families achieve process to help families achieve important outcomes by helping them important outcomes by helping them meet their needs both within and meet their needs both within and outside of formal human services outside of formal human services systems while they remain in their systems while they remain in their homes and communities.homes and communities.

Wraparound Key PremisesWraparound Key Premises Highly individualized service plans (how Highly individualized service plans (how

family wants their lives to be)family wants their lives to be) Family-driven plan (child and family Family-driven plan (child and family

choose team, goals, strategies)choose team, goals, strategies) Natural supportsNatural supports Outcome focusedOutcome focused Flexible and flexibly fundedFlexible and flexibly funded Culturally competentCulturally competent Normalized (every family needs outside Normalized (every family needs outside

assistance from time to time)assistance from time to time) Unconditional careUnconditional care

Types of Services Types of Services Intensive Care CoordinationIntensive Care Coordination Intensive In-HomeIntensive In-Home Crisis InterventionCrisis Intervention Crisis StabilizationCrisis Stabilization Case Management (Care Coordination)Case Management (Care Coordination) WaiversWaivers Therapeutic Day TreatmentTherapeutic Day Treatment Mental Health Support Services and MentoringMental Health Support Services and Mentoring Respite Respite Natural SupportsNatural Supports Outpatient individual, family and group therapiesOutpatient individual, family and group therapies Psychiatric Psychiatric

Note: For a comprehensive listing, refer to the Office of the Note: For a comprehensive listing, refer to the Office of the Inspector General’s report on Child and Family Services at Inspector General’s report on Child and Family Services at www.oig.virginia.govwww.oig.virginia.gov

Intensive Care CoordinationIntensive Care Coordination

New service for children who are at-New service for children who are at-risk of entering, or are placed in, risk of entering, or are placed in, residential care.residential care.

Children should be identified to Children should be identified to receive these services by their local receive these services by their local Family Assessment and Planning Family Assessment and Planning Team (FAPT).Team (FAPT).

ICC ValuesICC Values

We believe that We believe that All children deserve safe, nurturing and permanent homes All children deserve safe, nurturing and permanent homes

and permanent family connections.and permanent family connections. Child safety is first and foremost.Child safety is first and foremost. Parents have the right and responsibility to raise their own Parents have the right and responsibility to raise their own

children.children. The family and youth perspective must be honored at all The family and youth perspective must be honored at all

times and service plan must reflect the family’s values and times and service plan must reflect the family’s values and preferences.preferences.

Coordinating community services to transition or maintain Coordinating community services to transition or maintain children in their homes is a public responsibility and that children in their homes is a public responsibility and that public agencies should serve the community in this role.public agencies should serve the community in this role.