Ohio Association of Child Caring Agencies, Inc.

April 28-29, 2014Doubletree by Hilton Hotel

175 Hutchinson Ave Columbus, OH 43235 (614) 885-3334

Schedule: Monday, April 289:00 – 9:30am Breakfast and Check-In

9:30 – 10:15am OACCA Public Policy Report

10:15 – 11:30am Addresses from Tracy Plouck and Jennifer Justice

11:40am – 12:45pm Lunch & Exhibition

12:10 – 12:45pm Annual Meeting of OACCA

1:00 – 2:10pm Workshop Session A

2:30 – 3:40pm Workshop Session B

4:00 – 5:10pm Workshop Session C

5:15 – 6:15pm Networking Reception

Schedule: tuesday, April 298:30 – 9:00am Breakfast and Check-In

9:00 – 10:40am Keynote Address from Howard Shiffman

11:00am – 12:10pm Workshop Session D

12:20 – 1:25pm Lunch and Award Program

1:40 – 2:50pm Workshop Session E

Leading the Way…

Specialized Alternatives for Families and Youth (SAFY) is a leading non-profit organization providing a broad continuum of services for youth in the child welfare and family preservation systems. Founded in 1984, SAFY provides permanency, safety and well-being for vulnerable children and families in 10 regions across the state of Ohio. Committed to improving child welfare and social service practices at the local, state and national levels, SAFY’s organizational capacity is uniquely structured to manage and provide comprehensive community-based services. Our ability to build and sustain a large network of community connections enhances treatment for youth and families in our programs. For more information about SAFY, visit www.safy.org.

SAFY of America 10100 Elida Rd., Delphos, OH 45833 800-532-7239 www.safy.org

Preserving Families. Securing Futures.

Specialized Alternatives for Families and Youth

Workshop session aKinship Care in Ohio• Denise St. Clair, Executive Director, National Center for Adoption Law & Policy• Rebekah Murray, Office of Families & Children, ODJFS• Tim Harless, Dir. of Comm. Outreach & Programming, Richland County Children SvcKinship Care is a temporary or permanent arrangement in which a relative or non-relative adult who has a long-standing relationship or bond with the child and/or family, has taken over the full-time, substitute care of a child whose parents are unable or unwilling to do so. Kinship Care includes those relationships es-tablished through an informal arrangement, legal custody or guardianship order, a relative foster care placement or kinship adoption. In this session, participants will learn about:• Kinship care programs and models and roles of ODJFS, PCSAs, and local agencies• Financial assistance for kinship care and programmatic challenges• Statistical trends in the use of kinship care as compared to out-of-home care• Perspectives on how Ohio kinship care programs can improve

Customizing Mental Health Solutions for ChildrenSusan Shelton, Executive Director, MindPeaceThis workshop will feature a Cincinnati-based collaborative, MindPeace, that aims to align the partners, the infrastructure, and the processes for children’s men-tal health solutions. In collaboration with community partners, MindPeace works to unite the right teams so kids and their families can get the mental health care they need. In this workshop, participants will learn about the MindPeace collaborative model and the roles community behavioral health organizations play in addressing children’s mental health solutions.

Introduction to Childhood Trauma – Part OneBrian D. Lowery, Lowery Training AssociatesThis workshop introduces the concept of trauma as an underlying factor in some children’s problems. Trainees are introduced to factors that influence a child’s response to potentially traumatic experiences and to the concept of resilience.

ICD-10/DSM-5 Transition: Part OneLisette Wright, Executive Director, Behavioral Health SolutionsThese two seminars will provide behavioral health providers with information about the ICD-10/DSM-5 transition. This unprecedented change will affect every-one in the US healthcare industry. The American Psychiatric Association is ex-pected to retire the DSM-IV-TR sometime in the next year which will prompt use of the new DSM-5. The health and human service industry will have to utilize both the ICD-10 and DSM-5 code sets under different timelines, purposes, and circum-stances. Helping behavioral health providers understand the ICD-10/DSM-5 re-lationship is critical to continued clinical and business operations after the mandatory switch-over date of October 1, 2015. Risk mitigation strategies, es-tablishment of training programs, and items for policy and procedure consider-ation will be provided.

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Workshop session BIntroduction to Childhood Trauma: Part TwoBrian D. Lowery, Lowery Training AssociatesSee description from Session A.

ICD-10/DSM-5 Transition: Part TwoLisette Wright, Executive Director, Behavioral Health SolutionsSee description from Session A.

CareSource: Overview of Managed Health Care Services for ChildrenJonas Thom, MA, PCC, Vice President of Behavioral Health, CareSourceLearn about recent initiatives undertaken by CareSource, a nonprofit managed health care plan headquartered in Dayton, Ohio, and largest Medicaid plan in Ohio and one of the largest in the United States. Participants will learn about 1) CareSource resources that better coordinate care an improve health outcomes, 2) web-based tools for providers, 3) CareSource programs, 4) the CareSource Care Management program, 5) an overview of the CareSource model and opportunities for collaboration, and 6) statewide behavioral health initiatives and strategies.

Community Collaboration to End Homelessness for Youth Aging out of Foster Care: A Planning Project in Hamilton County• Robert Mecum, President and CEO, Lighthouse Youth Services• Meredith Hicks, MPH, Planning and Policy Director, Lighthouse Youth Services• Jennifer Justice, Deputy Director, Office of Families and Children, ODJFSYouth aging-out of foster care are at increased risk of experiencing homeless-ness, low educational attainment and sexual exploitation. While foster youth may encounter supportive systems during this transition, many gaps in services re-main. Over 30 agencies and foster youth in Hamilton County are collaborating to create a community plan to end homelessness for youth aging out of foster care. Funded by ACF, this 16 month planning project involves multiple research strate-gies to learn about the youth most at risk, community discussion of key findings and the creation of an implementation plan to improve support for youth in tran-sition. Come learn about our planning structure, research components and youth involvement. Contribute your ideas about strengthening services for youth in Ham-ilton County and throughout Ohio. Workshop will be co-led by the key partner or-ganizations and a member of the Lighthouse Youth Advisory Council. The workshop will involve hands-on activities, discussion and presentation.

Human Trafficking: Serving At-Risk Youth Rachel Rosenthal, GracehavenThe trafficking and exploitation of children for sex and labor is a growing crisis in Ohio. It is more critical than ever for professionals who coordinate care and provide services to these most vulnerable children know how to identify and help those possible victims. In this session, participants will learn about the scope of the issue, impacts of trafficking on at risk/foster youth; identification tech-niques, and tools to equip providers to provide appropriate support to survivors.

Accepting the past, conditioning for the future.

555 Cincinnati-Batavia PikeCincinnati, OH 45244

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Workshop session CBuilding a Safe PlaceBrian D. Lowery, Lowery Training AssociatesThis workshop will help trainees understand the difference between physical and psychological safety. It will introduce the key components of a safety message and how to deliver an effective safety message to children who have experienced trauma. Trainees will learn how to help children cope with trauma reminders.

Becoming a Model Behavioral Health and Social Service Provider of the Future• Debra Rex, President and CEO, Beech Brook• Jean Solomon, MA, MSN, VP Health Integration, Beech BrookEven as Beech Brook celebrates 160 years of service, the ground beneath us is quaking with powerful disruptive forces that herald great change. Brought about by the Affordable Care Act, agencies like Beech Brook are facing numerous threats and uncertainties: diminished governmental funding, the rapid approach of inte-grated care, a national and local workforce crisis, technological shifts, and increased demands for transparency and accountability. Funding changes in the next few years in our service area include a probable elimination of the behav-ioral health carve out, case rate and capitated arrangements, and performance-based payment models. Amid the chaos, agencies will need to seize the moment to re-create services and operations with the strategic intent of becoming a model behavioral health and social service provider of the future. This presentation shares one agency’s efforts to anticipate and position itself to become an inte-grated care provider of effective, efficient and high quality services and out-comes, at reduced costs.

NMT: Introduction and Integration• Dave Paxton, Chief Strategy Officer, The Village Network• Jenny Gottfired, LISW, The Village NetworkThe Village Network is the first agency in Ohio to be certified by the Child Trauma Academy in The Neurosequential Model of Therapeutics (NMT) as ell as the first agency to complete Phase II: Train the Trainers. NMT is a developmentally sen-sitive, neurobiology-informed approach to clinical problem solving developed by The Child Trauma Academy and Dr. Bruce Perry. NMT integrates core principles of neurodevelopment and traumatology to inform work with children, families, and the communities in which they live. The Neurosequential Approach has three com-ponents: (1) training & capacity building, (2) assessment, and then, (3) specific recommendations for the selection and sequencing of therapeutic, educational, and enrichment activities that match the needs and strengths of the individual. For the last three years, the Village Network has been training under Dr. Bruce Perry and the Child Trauma Academy in the Neurosequential Model of Therapeutics. Now that the agency has completed Phase II or Train the Trainers, the hard work be-gins: implementing NMT throughout the agency. This work shop will provide a brief overview of NMT as well as describe the change management techniques and philoso-phy adopted to infuse the approach into its practices and culture. CONTINUED -->

UnitedHealthcare Community Plan is proud to support the Ohio Association of Child Caring Agencies. We’re happy to provide services and support to organizations all across Ohio. From Community Grants and grant writing support, to educational programs for their membership, we are proud to partner with groups who help serve vulnerable populations.

For more information about our programs, or to learn about working with us, please call us at:

1-800-895-2017

or visit UHCCommunityPlan.com

© 2014 United Healthcare Services, Inc.

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WORKSHOP SESSION C (CONT.)My Billing Time Went From 288 Hours to 5• Ed Carpenter, Mended Reeds• Juliette Palmer, Foothold TechnologyData is at the heart of every agency’s effort to progress, but the process of collecting it and billing for services can feel like a burden that takes time away from clients. Quick access to specific data and integrated documentation are crucial in monitoring the health of a program and the progress of individuals. Whether engaged in program evaluation, quality improvement, strategic planning, fundraising and development, or outcomes reporting, the ability to turn data about your clients and services into useful information is crucial. This session will provide insight into some of the ways your data can be put to work for your agency. You will hear from your colleagues about how agencies are saving up to 90% of their time on documentation and using their data to make smart decisions and achieve their long-term goals.gins: implementing NMT throughout the agen-cy. This work shop will provide a brief overview of NMT as well as describe the change management techniques and philosophy adopted to infuse the approach into its practices and culture.

April 29 Keynote address

Howard ShiffmanSenior Associate, Open Minds“National Health & Human Services Briefing: Industry Trends Affecting Ohio Providers” Providers across the country have been challenged to develop new com-petencies to meet the rapidly changing health and human service mar-ketplace. Adapting to these changes is essential for successful market positioning and market advantage. OPEN MINDS, a national con-sulting firm has been a leader helping provider organizations implement strategies to meet the changing environment. This presentation will focus on an overview of areas including:

• Payer focus on high-needs complex consumers – with preference for coordinated care across medical, behavioral, and social domains • More use of managed care across all payers • Blurring role of payers and provider organizations • More value-based purchasing: risk-based and P4P contracting • Technology changing nature of service and of competition• Fundraising and Marketing Trends• Key competencies for sustainability and competitive advantage in the emerging Ohio marketplace

Workshop session dHow to Embrace New Marketing Tactics & Shift Away From TraditionalMarketing Models Howard Shiffman, M.A., Senior Associate, Open MindsA 2012 article in the Harvard Business Review focused on the changes being insti-tuted in the areas of marketing, including advertising, public relations, brand-ing and communications. The message was that traditional marketing techniques are “dead”. If old techniques are obsolete what is taking their place and is your organization adapting to new methods and technologies? This presentation and discussion will focus on:• New tactics for successful marketing, public relations and fund development in today’s environment• How to adapt your organization’s marketing/public relations plan for the future and why this is important for market positioning• Forward thinking marketing strategies • The importance of becoming a “Thought Leader”

Secondary Trauma: Birth, Foster and Adoptive Families’ Perspectives • Marynell Townsend, Executive Director, Ohio Family Care Association (OFCA)• Panel of CaregiversBirth parents from the Ohio Primary Parent Advisory Council will join experi-enced foster and adoptive parents from OFCA to discuss perspectives on how trauma experienced by their biological and foster children affected themselves, their case worker, their relationship with their case worker, and the progress of their case. The panel will include ample time for dialogue between attendees and pan-elists. This workshop will help child welfare professionals assist their case workers in better supporting clients (specifically, birth and foster families on their caseload). Agency leaders will learn strategies for helping provide better services to child welfare-involved birth families and to foster families. Specifi-cally, agencies will learn how to help case workers achieve better outcomes with birth and foster families by helping case workers address their own primary and secondary trauma, and understand negative impacts of case worker trauma on the relationship with the birth/foster family.

The Magic of Motivational InterviewingMarion Bernard, PCC-S, SAFY Motivational Interviewing (MI) is a best practice for the treatment of substance use disorders but can be used to change any entrenched behavior that does not align with one’s value system. This training will explore the basics of MI and the stages of change. Essential Elements of MI will be learned and practiced cul-minating in a “Magic MI Moment”. The question “What’s horse training got to do with it?” will finally be answered. An MI manual will be provided to every partic-ipant. Learning objectives include: 1) Learn or review fundamentals and “spirit” of MI and the science behind it, and 2) Identify/experience benefits of MI to self and clients with a variety of issues including problem drinking (but much more). CONTINUED -->

Beech Brook is proud to be part of the17th annual OACCA Advocacy Conference

and to raise our voice, along with our colleagues,on behalf of Ohio’s children and families.

www.beechbrook.org

WORKSHOP SESSION d (CONT.)IHBT Risk Assessment and Safety Planning OverviewRichard Shepler, Case Western Reserve UniversityThis workshop will present an overview of key issues in managing risk and safety issues in Intensive Home-based Treatment. Main areas of focus for risk and safe-ty assessment will be presented. The central elements of safety planning will be discussed. • Participants will learn the major types of risk in IHBT practice• Participants will learn main areas to assess for risk and safety • Participants will learn basic components of safety planning

WORKSHOP SESSION eNew Service Line Development: Tips, Tricks and AdviceHoward Shiffman, M.A., Senior Associate, Open MindsIn this fast paced changing health and human services market there are new ser-vices being requested by payers such as managed care companies. Not all current provider service lines will be viable for the present and future payer demands. Has your organization evaluated your present service array and do you know how to create new services? This workshop will focus on a presentation and discussion of: • Why develop new service lines• Service line and portfolio analysis• Metric-based evaluation of new business opportunities• Implementation process for new service lines

It’s the Brain Not the Heart: Important Neuroscience Concepts for Healers of Hurt Kids Jim Natural, MA, Ohio Training Coordinator, Pressley RidgeThe issues surrounding the effects of trauma on the brain are well-documented to a degree that people narrowly associate findings of neuro-science with trauma alone. In reality, the human brain has evolved to facilitate the unique social characteristics of our species. This presentation will not only review the prin-ciples of trauma. It will outline other critical findings on “neuro-relational” functions, relating these to therapeutic work with adult-wary, relationship-re-sistant and generally distrustful young people. Concepts presented will include: the “triune brain,” hypo/hyper arousal, mirror neurons in association with empa-thy, non-verbal indicators and the effects of oxytocin on trust and bonding. The workshop will stress the critical role of sincere adults in the helping process. It’s not about what we know, but what we can do with that knowledge.

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Ohio Medicaid Documentation Institute

Topics:

• Medicaid Reimbursement and Documentation • Impact of the Affordable Care Act on Providers• Compliance Risks and Compliance Programming • Tenets of Medical Necessity• E&M Documentation for Medical Staff, Auditors, & Compliance• Key Parts of the Assessment and Treatment Plan

Save the Date!

October 21-22, 2014 Columbus, OH

Trainer:

Mary Thornton BSRN, MBA, CHC, CHPC President Mary Thornton & Associates, Inc.

Sponsor:

Ohio Association of Child Caring Agencies, Inc.

WORKSHOP SESSION e (CONT.)Preparing Foster Parents for Trauma Informed Caregiving Erica Crisp, MSW, TFC Licensing and Recruiting Coordinator, Pressley RidgeThis session will assist social workers to help foster parents to understand children with trauma. The training will discuss how to help parents understand and be empathetic to the differences in child development, ongoing behaviors and attachment, treatment foster children face. Education will be given to assist workers with supporting new foster parents as they begin taking on placements of treatment children. Also, the training will address potential strategies to en-gage veteran foster parents to think outside of the box when dealing with treat-ment children.

Implementing Integrated Co-Occurring Treatment• Richard Shepler, Case Western Reserve University• Michael Fox, Case Western Reserve UniversityThe Integrated Co-occurring Treatment (ICT) program is a promising treatment for high-risk adolescents who have both substance abuse and mental health disor-ders. ICT utilizes an integrated treatment approach, embedded in an intensive home-based method of service delivery, to provide a set of core services to youth with co-occurring disorders of substance use and serious emotional disability and their families. This workshop will present the main components of Integrated Co-Occurring Treatment and key factors important to its effective implementation. Participants will:• understand the unique aspects of youth with co-occurring disorders, including: developmental influences; differential diagnostic challenges; separateness from adult presentations; and family, peer and community considerations.• understand the basic clinical concepts related to implementation of ICT, in-cluding; home-based and system of care frameworks, integrated case conceptualiza-tion and utilizing an integrated framework for screening, assessing and treating youth with co-occurring disorders.• identify collaborative considerations related to the implementation of a co-oc-curring, home/community based program.

I’m the oneliving my life.And buckeye keeps me HeAltHy.

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