wraparound oregon fall conference october 1, 2009 eugene, oregon
TRANSCRIPT
Wraparound Oregon
Fall Conference
October 1, 2009
Eugene, Oregon
Wraparound Oregon
Statewide Children’s Wraparound Initiative
Wraparound Oregon
Background
• Fragmented and duplicative systems.• Children served in most restrictive
environments.• Cost and outcome data not linked.• Public policy making not well informed.• Service delivery inefficient.• Outcomes not what we would like to see.
Wraparound Oregon
Governor’s Executive Order
• Created a Steering Committee.
• Called for a plan to:1.Provide supports as early as possible.
2.Base plans on individual needs.
3.Maximize resources.
4.Hold systems accountable for outcomes.
Wraparound Oregon
Legislation – HB 2144
• Identifies principles and values
• Names state partners.• Calls for pooled funds
within existing dollars.• Establishes Statewide
Advisory Committee.• Calls for establishment
of three local system of care sites.
Wraparound Oregon
Education Work GroupName Category
Merri Steele - Eugene SD/OEA Teacher – regular ED/SP-Lang
Sandy Bishop, Redmond SD Administrator – Special Programs
Bryan Starr - Scio HS/COSA Principal
Larry Sullivan, Eugene SD/CO-Chair
Special Education Director
Marry Apple, UMESD Special Education Director
Anita Green, PTA Family – PTA
Shelly Joyce, SACSE/CO-Chair Oregon Family Support Network
Debra Depew Oregon Family Support Network
Kris Anderson Oregon Family Support Network
Jean Johnson – Eastern OR CCR&R
Child care
Dawn Norris – CC Division Child care
Wraparound Oregon
Education Work Group
Name Category
Dawn Barberis – MHCC-HS Head Start
Jody Mumford EI/ESC
Naomi Bledsoe – MESD,PR ESD
Kathryn Henderson – LBLESD ESD
Julie Brand – Youth Oregon Family Support Network
DJ Depew – Youth Oregon Family Support Network
Chris Borgmeier, PhD Portland State University
Brigid Flannery – U of O University of Oregon
Paula Radich-Newberg SD/COSA
Superintendent
Dave Masunaga – MESD/WO Education Advocate for Wraparound Oregon
Wraparound Oregon
Education Issues - SolutionsLanguage • Have educators represented
(EC through K-12) at every planning process; try to use inclusive, non-jargon language as much as possible.
Target Population • Clarify use of the term “at risk” in any funding formula.
Age range • Consider the inclusion of special education youth to the age of 21, as is required by education law.
Wraparound Oregon
Education Issues - Solutions
IEPs and Plans of Care Some regions, such as Multnomah County and Mid-Columbia, have solved this problem locally. They have taken care that the IEP is an education tool used to inform the Plan of Care. The educator is responsible for writing the IEP with the family but his can be done in the same time frame as the Care Coordinator completes the POC with an outcome of better communication and fewer meetings across systems.
Wraparound Oregon
Education Issues - SolutionsFunding The State Basic Funding Formula
should be left as is with decisions about local contributions to a wrap-around entity negotiated locally. The state-funded systems such as the Oregon Health Plan, Mental Health and Addiction Services and Child Welfare can be pooled at the state level and directed to local entities that are ready with locally negotiated contributions from education, juvenile justice and philanthropy.
Wraparound Oregon
Education Issues - SolutionsCommunications This is very key. This Work Group
barely scratched the surface of the need to inform educators and advocates across the state. Multiple methods should be used with individuals on the implementation teambeing held accountable to provide information on a regular basis across the state through electronic communication to school districts, early childhood groups. A focus on the benefits of wraparound for educators is highly recommended.
Wraparound Oregon
Education Issues - SolutionsToo Many Meetings After discussion, it became more clear
that actually fewer meetings are required when combined with requirements such as IEPs, etc. The Care Coordinator can assist the educator with communications required. This is actually one of the benefits of a robust wraparound system.
Wraparound Oregon
Education Issues - SolutionsConfidentiality This is an issue that has been solved
locally by several jurisdictions. Because it can be somewhat idiosyncratic to local school district policies, it is suggested that the state assist by creating a single policy for DHS programs, if possible, and that local school districts and families can agree on appropriate information sharing in order to be involved in a wraparound program.
Wraparound Oregon
Why is System of Care Important in Schools – SAMHSA Report 2009
• About 65% of youth aged 14–18 in systems of care received some mental health services at school.
• On average, youth received 5.7 different types of services and supports in the first 6 months.
Wraparound Oregon
Education Outcomes - SAMHSA Report 2009• Easier access to services for students and their
families.• Elimination of misconceptions about students
and their families.• Improved capability to prevent or respond
quickly to crisis situations.• Shared costs of staff positions between mental
health agencies and schools.
Wraparound Oregon
Education Outcomes - SAMHSA Report 2009• Increased eligibility for third-party
reimbursement for in-school health and mental health staff.
• More effective team planning and problem solving and school-wide staff training.
• More active supervision and behavior management of students in non-classroom settings.
Wraparound Oregon
Youth Progress - SAMHSA Report 2009• Youth Grades Improve: The percentage of
youth receiving passing grades (a grade of “C” or better) increased from 55% upon entry into services to 66% after 12 months of services.
• Youth Spend More Time in School: Within one year after entering system of care services, the percentage of youth attending school regularly (at least 80% of the time during the previous 6 months) increased from 75% to 81%.
Wraparound Oregon
Cost Savings - SAMHSA Report 2009• Cost Savings: The average annual cost of a student
repeating a grade in public education is $9,154.
• Only 8% of youth in systems of care for 12 months had repeated a grade, compared to nearly twice as many American students in the general public (15%).
• This difference translates to a cost savings of $4,544,412 for 7,092 youth aged 14–18 years who entered systems of care while enrolled in school.
Wraparound Oregon
An Oregon System of Care
Universal Intervention/ Prevention (All children)
Selected/Targeted Intervention
Intensive Intervention
System of care philosophy:consistent values guide all activities and decisions at the system level AND at the service level:
• Cultural Competence
• Family & Youth Voice
•Strengths Based
• “Seamless”
• Collaborative, Coordinated
• Unconditional Care
•Prevention/Early Intervention
•Effective Services
•Natural Supports
Public health approach: Service intensity matches child/family needs
Phase Two – Expanded Wraparound Oregon InitiativeTargeted intervention for children involved in two or more systems ~5% of Oregon Children.
Phase One – High Fidelity Wraparound ProcessMost intensive intervention for children with the highest levels of need ~1% or less Oregon children
Care
of
System
Phase Three --Universal carePositive development, prevention and intervention efforts for all children
Wraparound Oregon
Questions?
For more information about statewide project, sign up for the listserv at:
http://listsmart.osl.state.or.us/mailman/listinfo/statewraparound
Also, visit the website at www.wraparoundoregon.org/statewide for up to date information.
Statewide Wraparound
Contacts:Larry Sullivan – [email protected]
Shelley Joyce – [email protected]
Eric Richards – [email protected].
Bill Bouska – [email protected]