wrapct presents: building a system of care utilizing the wraparound process
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WrapCT Presents: BUILDING A SYSTEM OF CARE UTILIZING THE WRAPAROUND PROCESS. Three Levels of Change Needed. Practice. Program. System. If you only work on practice and fail to work on system and program you get. Turbo Care Management. - PowerPoint PPT PresentationTRANSCRIPT
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
WrapCT PRESENTS:
BUILDING A SYSTEM OF CARE UTILIZING THE WRAPAROUND
PROCESS
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
THREE LEVELS OF CHANGE NEEDED
Practi
ceProgram
System
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
IF YOU ONLY WORK ON PRACTICE AND FAIL TO WORK ON SYSTEM AND PROGRAM YOU GET...
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
MARY JO MEYERS [email protected]
TURBO CARE MANAGEMENT
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
IF YOU ONLY WORK ON PROGRAM AND FAIL TO CHANGE PRACTICE AND SYSTEM YOU GET…...
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
HARDENING OF THE CATEGORIES
• Agency / Program Isolation• Repackaged Categorical Services• Lack of Community Buy-In• Lack of Cross System Involvement
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
IF YOU ONLY WORK ON SYSTEM AND FAIL TO CHANGE PROGRAM AND PRACTICE YOU GET…...
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
THE AMAZING EXPLODING TRIANGLE
• Unstable base of care • Mid-level services in
chaos• Client’s experience
random access to services
• Loss of mission, vision and value
• Top down without bottom up
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
SYSTEM OF CARE
• Incorporates a broad array of services and supports organized into a coordinated network
• Integrates care planning and management across multiple levels
• Is culturally and linguistically competent• Builds meaningful partnerships with
families and youth at service delivery and policy levels Building Systems of Care: A Primer
Sheila A. Pires, Spring 2002
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
SYSTEM OF CARE GUIDING PRINCIPLES
• Comprehensive, incorporating a broad array of services and supports
• Individualized• Provided in the least restrictive,
appropriate setting• Coordinated both at the system and
service delivery levels• Involve families and youth as full partners• Emphasize early identification and
intervention
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
. . . a process and an approach.
not a program
or a service
WRAPAROUND IS . . .
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
CATEGORICAL APPROACH
• Assess Problems• Look at Services that are
Available…• Plug Services into the Family
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
EXAMPLES OF A CATEGORICAL APPROACH
• Services reflect what’s available and has been tried rather than what’s really needed
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
CommunityBased
Strengths
TechnologyCluster
UnconditionalCare
Normalization
CulturalCompetencyCollaboration
NeedsDriven
Refinancing
Family Centered
SystemIntegration
WRAPAROUND: A CLUSTER OF TECHNOLOGIES TIED TO CORE VALUES
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
STEPS FOR DEVELOPING AN INDIVIDUALIZED PLAN
• Step 1: Getting to Know the Family• Step 2: Start Meeting with Strengths• Step 3: Family Identifies Vision• Step 4: Team Identifies Needs• Step 5: Prioritize Needs• Step 6: Action Planning• Step 7: Commitments• Step 8: Evaluation• Step 9: Documentation• Step 10: Crisis Planning
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
Social/Fun Mental Health Family A Place to Live School/Work Cultural
Spiritual Safety Legal Medical/Health Finances Relationships Other
LIFE DOMAIN AREAS FOR PLANNING
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
CHALLENGES TO BEST PRACTICE
• Encouraging & sustaining creativity in staff generated solutions
• Integrating Wraparound values with mandates• Evaluating current program practices against
the values base• Giving up own turf in order to meet needs of
families• Ensuring line staff have skills which match
values base• All staff committed to Value Base
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
ISSUES OF FIDELITY TO THE MODEL
• Current Service Driven Practice• Standard QA/QI Measures• Local Community Buy In• Partnership Challenges and
Fragmentation• Leadership and Lack of Commitment to
True Change
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
COMMITTING TO CHANGE
Assure consumer access to care that is• based on family choice• strength based• culturally sensitive• enhances the quality of daily living• provides families the right thing at the right
time in the right way
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
“Vision is the ability to see beyond the majority.”
Charles R. Swindel
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
WrapCTLEARNING COLLABORATIVE
Our vision as a statewide learning collaborative is that all children, youth, and families are able and capable of achieving optimal levels of
functioning at home, in the community, at school and/or work.
WrapCT Steering Team• Jan Bendall, Rushford; Ray Bieber, Child & Family Guidance; Tim
Bowles, SEMHSOC; Jill Coffin , U CF S; Dorothy Contrastano, FAVOR; Tim Cunningham, Wellpath; Paloma Dee, NAMI, CT; Nicole DeRobertis, MFCGC; Hal Gibber, FAVOR; Victor Gonzalez, Wheeler Clinic-Hrtfd; Gabrielle Hall, Clifford Beers; Mary Held, Waterbury FFP; Katy Keegan, West Haven – Bridges; Virginia Lopez, Child & Family Guidance; Tim Marshall, DCF; Tabor Napiello, Wheeler Clinic-Plainville; Kristen Penta, Bridgeport Schools; Mark Plourd, Wheeler Clinic-Hrtfd, Cheryl Tedesco, Child & Family Guidance; Paige Trevethan, Bridges; National Consultants: Verneesha Banks, Wraparound Milwaukee; Mark Horwitz, Westfield State Univ.; Mary Jo Meyers, Wraparound Milwaukee
Contact information for WrapCT: Tim Marshall 860-550-6531; [email protected]
Contact for training material: Mary Jo Meyers 414-251-7521; [email protected]