Nevada PEP

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A System of Care is a child-centered, family-focused plan of care in which the needs of the child and family dictate the types of services provided.System of Care involves agencies, programs, and services that are working together to address individual family needs.

Definition of a System of Care

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System of care is, first and foremost, a set of values and principles that provides for systems reform on behalf of children, youth and families.

Community-BasedChild and Family-FocusedInteragency CollaborationCultural CompetenceIndividualized & Strength BasedAccountability

In Systems of Care full family participation requires mutual respect and meaningful partnership between families and professionals.

Families are involved and their voice is valued in all levels of Systems of Care.

Interagency Collaboration within Systems of Care engages all child and family serving agencies at all levels of the public, private, and faith based sectors.

Systems of Care services are respectful and responsive to the child and family’s (cultural, ethnic, religious and spiritual) values and practices.

Services are delivered in the community where the child and family live, such as a school or home.

Every child and family enrolled in Systems of Care participates in an individualized plan of care that focuses on the needs, strengths, and challenges of the child and family.

Systems of Care ensure outcome data is collected, analyzed, and reported on the individual child and family services system, performance, and financial efficiencies.

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Wraparound is a practice approach that can be applied to children and families with or at risk for service needs – not just to those with the most serious and complex problems.

Pires, S. & Lazear, K. 2006. Human Service Collaborative. Washington, D.C. Adapted from the National Wraparound Initiative, Portland, OR

Unconditional Care

Wraparound puts system of care values and principles into practice for service planning and provision.

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Show evidence of effectiveness through experience of key stakeholders (e.g., families, youth, providers, administrators) and outcomes data. Examples include:

•Family Support and Education•Wraparound Approach•Mobile Response and Stabilization Services•Family Group Conferencing•Intensive In-Home Services•Child and Youth Respite Services•Mental Health Consultation Services•Independent Living Skills and Supports •Positive Behavioral Supports

Pires, S. (2002). Building systems of care: A primer. Washington, D.C.: Human Service Collaborative. Examples - Source: Burns & Hoagwood. 2002. Community treatment for youth: Evidence-based interventions for severe emotional and behavioral disorders. Oxford University Press and State of New Jersey BH Partnership (www.njkidsoc.org)

Promising Approaches or Practice-Based Evidence

What Natural Helpers and Social Supports Can Provide

Emotional support; moral & spiritual guidance

System supportConcrete help & advocacyDecrease isolation Community navigationResources & educationGreater understanding of getting help or support

13Lazear, K., (2003) “Primer Hands On”; A skill building curriculum. Washington, D.C.: Human Service Collaborative.

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Where Families, Youth and Family and Youth Organizations Fit Into the Service Array

As technical assistance providers & consultants

Training

Evaluation

Research

Support

Outreach/Dissemination

As direct service providers

Family Liaisons

Care Coordinators

Family Educators

Specific Program Managers (respite, etc)

Youth Peer MentorsWells, C. (2004). “Primer Hands On” for Family Organizations. Human Service Collaborative: Washington, D.C.

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Fundamental Challenge and Rationale for Building Systems of

CareNo one system controls everything.

Every system controls something.

“Think outside of your Silo”

Pires, S. 2004. Human Service Collaborative. Washington, D.C.

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Phases of Wraparound

Time

Engagement and team preparation

Transition

Implementation

Plan development

Bruns, E. Ensuring high quality wraparound

Wraparound is “a planning process that results is an individualized set of community services and natural supports that are for a child and family to achieve a positive set of outcomes.”

Bruns, B. & Hoagwood, K. (Eds.) Community-Based Interventions for Children and Families. Oxford: Oxford University Press and National Wraparound Initiative,.www.rtc.pdx.edu/nwi

Life Domain Areas

17Adapted from. Dennis, K, VanDenBerg, J., & Burchard, J. (1990). Life domain areas. Chicago: Kaleidoscope.

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A Well Documented Service and A Well Documented Service and Support PlanSupport Plan

Respectfully and thoughtfully documents the family’s experience. Respectfully and thoughtfully documents the family’s experience.

Uses the family’s and youth’s own words to create a family and Uses the family’s and youth’s own words to create a family and youth vision.youth vision.

Is written from strengths, addresses culture and linguistics.Is written from strengths, addresses culture and linguistics.

Lazear, K. (2006) Wraparound Maryland. Human Service Collaborative: Washington, D.C. Adapted from The National Wraparound Initiative (2004).

(continued)

Identifies needs that moves the family and youth closer to Identifies needs that moves the family and youth closer to their vision. their vision.

Identifies strength-based, creative and practical strategies to Identifies strength-based, creative and practical strategies to meet the chosen needs, not just existing categorical services.meet the chosen needs, not just existing categorical services.

Looks at successful formal and usual strategies from the past.Looks at successful formal and usual strategies from the past.

A Well Documented Service and Support A Well Documented Service and Support PlanPlan

(continued)

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A Well Documented Service and Support PlanA Well Documented Service and Support Plan

Addresses mandates while staying family-driven and youth-guided.Addresses mandates while staying family-driven and youth-guided.

Spells out a crisis/safety plan that moves from least restrictive to Spells out a crisis/safety plan that moves from least restrictive to more restrictive.more restrictive.

Builds a family-based team rather than a system-based teamBuilds a family-based team rather than a system-based team

Lazear, K. (2006) Wraparound Maryland. Human Service Collaborative: Washington, D.C. Adapted from The National Wraparound Initiative (2004).

Includes community and natural supportsIncludes community and natural supports

Attends to transition out of the formal wraparound process.Attends to transition out of the formal wraparound process.

Includes all necessary signatures of participation and Includes all necessary signatures of participation and commitment.commitment.

Reflects what was said in the child and family team meeting.Reflects what was said in the child and family team meeting.

A Well Documented Service and Support PlanA Well Documented Service and Support Plan

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System of Care Outcome Measures

•Mental Health •Reduction in residential care•Decrease in CAFAS/CASII scores•Increase in Evidence Based Practices

•Academic/Education•Improved Attendance and education performance•Reduction in discipline referrals

•Juvenile Justice•Reduction in bookings•Reduction in Recidivism

•Family•Increased family involvement•Increased family satisfaction

Pires, S. (2006). Primer Hands On – Child Welfare. Washington, D.C.: Human Service Collaborative.