Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.
-
Upload
lisbeth-barnfield -
Category
Documents
-
view
214 -
download
2
Transcript of Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.
![Page 1: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/1.jpg)
Davidson Conference Center
December 1, 20089:00-4:00 PM
3415 South Figueroa Los Angeles CA 90089
![Page 2: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/2.jpg)
MEETING PURPOSE
To bring together DCFS, DMH, CEO and other partners to…
1. understand the Katie A. Strategic Plan’s components;
2. provide focused feedback on the implementation of three components of the Katie A. Strategic Plan;
3. build greater ownership over the implementation of the Katie A. Strategic Plan.
![Page 3: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/3.jpg)
WELCOME
MIGUEL SANTANA, Deputy Chief Executive Officer, Children and Families' Well-Being
SHEILA SHIMA, Deputy Chief Executive Officer, Health and Mental Health Services
![Page 4: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/4.jpg)
AGENDA: MORNING
I. WELCOME & OVERVIEW 9:00-9:15
II. STRATEGIC PLAN OVERVIEW 9:15-10:30
High-Level ContextHigh-Level Plan Components
III. SERVICE ACTIVITIES 10:40-12:00
MH Screening and AssessmentMH Service DeliveryData and Tracking of Indicators
![Page 5: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/5.jpg)
AGENDA: AFTERNOON
IV. AFTERNOON ACTIVITIES 1:00-1:25
V. IMPLEMENTATION PLANNING 1:35-3:05
Break Out Sessions
VI. PRESENTATION AND INTEGRATION 3:20-4:00
VII. ADJOURN 4:00
![Page 6: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/6.jpg)
RECOGNITIONS
1. Executive Leadership
2. Board Deputies
3. Departmental Leadership
4. CHAMPS
5. Operational Planning
6. Caseload Reduction Workgroup
7. Data Workgroup
8. Training Workgroup
![Page 7: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/7.jpg)
RECOGNITIONS
9. Specialized Foster Care Managers’ Meeting
10. Interagency Placement Review Meeting
11. Intensive In-Home Mental Health Services Meetings
12. CFT/Finance Workgroup
13. CSAT/Referral Tracking System Workgroup
14. EPSDT Determination Workgroup
15. MAT Coordinators Meeting
16. MAT Steering Committee
![Page 8: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/8.jpg)
AGREEMENTS
1. A learning opportunity among ‘experts’ of different parts of a complex system; this not a training…
2. Some components of the Plan need your feedback—hence this is an invitation to co-craft elements of the Plan that still need work.
3. Play an active role in understanding concepts and giving feedback.
![Page 9: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/9.jpg)
PRESENCE PRINCIPLES
1. Those who show up are the right ones.
2. When it starts is the right time.
3. Whatever happens is the only thing that could’ve.
4. When it’s over, it’s over…
![Page 10: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/10.jpg)
OVERALL CONTEXT
![Page 11: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/11.jpg)
OVERALL CONTEXT
TRISH PLOEHN, MSW, Director, Department of Children and Family Services
MARVIN J. SOUTHARD, DSW, Director, Department of Mental Health
BRANDON NICHOLS, Senior Deputy County Counsel, Social Services Division
![Page 12: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/12.jpg)
BACKGROUND: 2002CLASS ACTION LAWSUIT FILED AGAINST THE STATE
AND LOS ANGELES COUNTY ALLEGING:
1. Failure to assess mental health needs.
2. Inadequate mental health services.
3. Placement disruptions.
4. Over-reliance on congregate care.
5. Institutionalization—MacLaren Children’s Center.
![Page 13: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/13.jpg)
BACKGROUND: JULY 2003
Los Angeles County entered into a Settlement Agreement resolving the County-portion of the lawsuit.
The Settlement Agreement required the County to make systemic improvements to better serve members of the class.
![Page 14: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/14.jpg)
KATIE A. CLASS MEMBERS
1. Are in the custody of the Los Angeles County DCFS in foster care or who are at imminent risk of foster care placement by DCFS;
2. Are eligible for services under the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program;
![Page 15: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/15.jpg)
KATIE A. CLASS MEMBERS
3. Have a mental illness or condition that is documented or, had an assessment been completed, could have been documented; and
4. Need individualized mental health services to treat or ameliorate their illness or condition.
![Page 16: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/16.jpg)
SETTLEMENT OBJECTIVES
1. Promptly receive necessary individualized mental health services in their own home, a family setting, or the most homelike setting appropriate to their needs;
2. Receive care and services needed to prevent removal from their families or dependency or, when removal cannot be avoided, to facilitate reunification, and to meet their needs for safety, permanence, and stability;
![Page 17: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/17.jpg)
SETTLEMENT OBJECTIVES
3. Be afforded stability in their placements, whenever possible; and
4. Receive care and services consistent with good child welfare and mental health practice and the requirements of law.
![Page 18: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/18.jpg)
HISTORY: THREE PLANS
1. ENHANCED SPECIALIZED FOSTER CARE (SFC) MENTAL HEALTH SERVICES PLAN [2005]
Pilots in three Service Planning Areas
2. CORRECTIVE ACTION PLAN (CAP) [2007]
Modifications required by the Court
3. KATIE A. STRATEGIC PLAN [2008]
Comprehensive five-year plan
![Page 19: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/19.jpg)
Legal Background and Context
!The “Bottom Line” !!Why Moving Forward and Making
Progress is Critical!&
!Why Partnership and Engagement (DMH, DCFS, CEO, Community
Partners, Providers, Stakeholders etc. is KEY!
![Page 20: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/20.jpg)
What are the Components of the Plan:
Questions, Questions and more Questions…
KATIE A. STRATEGIC PLAN:
CONTENT
A (Brief) Panel Discussion
![Page 21: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/21.jpg)
Katie A. Strategic Plan: High Level Overview
Does any-ONE have a question they’d like to ask?
![Page 22: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/22.jpg)
E X I T(Beginning With End In Mind)
![Page 23: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/23.jpg)
QUALITATIVE SERVICE REVIEW
![Page 24: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/24.jpg)
Katie A. Strategic Plan: High Level Overview
Continued
Does anyone else have a question they’d like TWO ask?
![Page 25: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/25.jpg)
FUNDING OF SERVICES
![Page 26: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/26.jpg)
Katie A. Strategic Plan: High Level Overview Continued
THIRD time is a charm….Who else has a question they’d like to ask?
![Page 27: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/27.jpg)
CASELOAD REDUCTION
![Page 28: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/28.jpg)
Katie A. Strategic Plan: High Level Overview Continued
Does anyone else have a question FOUR leadership?
![Page 29: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/29.jpg)
TRAINING
![Page 30: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/30.jpg)
Katie A. Strategic Plan: High Level Overview Continued
Does anyone else have a question for leadership?
# 5
![Page 31: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/31.jpg)
ACTIVITIES
![Page 32: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/32.jpg)
DATA AND TRACKING OF INDICATORS (Insuring We Know What’s Happening)
and REFERRAL TRACKING SYSTEM
(The System that will be in place to do this)
![Page 33: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/33.jpg)
SCREENING & ASSESSMENT
![Page 34: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/34.jpg)
THREE TRACKS TO SCREENING
![Page 35: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/35.jpg)
C S A T: PURPOSE
1. To coordinate DCFS and DMH non-line staff to rapidly receive screenings and/or referrals to ensure service linkage.
2. To integrate ‘siloed’ services and programs into CSAT through clear policies and procedures for all operational responsibilities.
3. To use a data tracking system to regularly monitor progress on indicators (i.e., timely delivery of screening, assessment, referral linkage, full utilization of resources, etc.).
![Page 36: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/36.jpg)
C S A T: PARTNERSDCFS, DMH, DPH AND DPSS STAFF…
1. CSW
2. Service Linkage Specialist
3. DMH Co-Located Specialized Foster Care Staff
4. MAT Staff
5. Team Decision Making Staff
6. Resource Utilization Management/Resource Utilization Liaisons
7. Youth Development Specialists
8. Permanency Partners Program (P3) Staff
9. Adoption Safe Families Act Staff
10.Linkages Co-Located Staff
11.Educational Liaisons
12.D-Rate Coordinators
13.PHN
![Page 37: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/37.jpg)
MENTAL HEALTH SERVICE DELIVERY
![Page 38: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/38.jpg)
Katie A. Strategic Plan: High Level Overview Continued
We have time for one LAST question.
? # 6
![Page 39: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/39.jpg)
KATIE A. STRATEGIC PLANHigh Level Summary
![Page 40: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/40.jpg)
REFLECTIONS
STRUCTURE
Select a facilitator (who keeps group focused and makes sure everyone gets a chance to speak).
Select a recorder of key points.
QUESTIONS
1. What did you like about what you heard?
2. What questions do you have?
![Page 41: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/41.jpg)
![Page 42: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/42.jpg)
Screening, Assessment and Service Delivery:
“As the Caseload Churns” (An Activity)
Objectives:Better understand key decision points (mental health
screening/assessment and service delivery components looking at 3 “points of entry/service”)
Connect these with existing resourcesIdentify key places where input is neededEngagement, feedback and clarificationSome GuidelinesBasic case information onlyTrack thoughts, questions and ideas for processing laterKeep child, family member and CSW role at the forefrontEngagement, Teaming, Tracking, Improving….
![Page 43: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/43.jpg)
Activity: “The Flow”Prologue: “Decisions/Decisions/Decisions”
Key Concepts: Mental Health Screening Tool (MHST), Referral Tracking System, Coordinated Services Action Team (CSAT),
3 Families
Family # 1 Jackson-Washington Family (Detention Required)Family # 2 Jefferson Family (Case Opening/No Detention)Family # 3 Evans Family (Triggering Event and/or Case Plan Update
Due)
Act I Scene 1: Background/ Initial Assessment: Safety/Risk Assessment Act I: Scene 2: Team Decision Making and Mental Health ScreeningAct I: Scene 3: Mental Health Assessment Act I: Scene 4: Mental Health Services Linkage Act II: Mental Health Service Delivery/Tracking of Indicators ( A “Walk-
Through”) Epilogue: Reinforcing Key Points, Table Discussion and Report Out
![Page 44: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/44.jpg)
Decisions, Decisions, Decisions!Handout
At Your Tables
Review 3 Referrals
(A) Initial Referral ------to-------(B)-Successful Case Closure
Question One:Pick one of these scenarios and list 7-10 major
decision/intervention points that will have to be made during the time from referral to case closure.
Question Two:Pick one decision/intervention point on your list. Brainstorm
below your ideas on the tools, resources and supports that a CSW currently has available to help them make this decision.
![Page 45: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/45.jpg)
Scenario # 1Today’s date: _____________: CPHL Call:
“Hello, I’d like to make a referral regarding Joe Jackson and La Trecee Washington. They are currently running around the neighborhood completely unsupervised since early this morning. Both children have serious behavior problems. Parents are into drugs and are nowhere to be found.”
Date: (12 months from today): _________________ Judge: “Joe Jackson and La Trecee Washington are discharged as dependents of the court and the petition is dismissed.”
![Page 46: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/46.jpg)
Scenario # 2Today’s date: _____________ CPHL call from Law
Enforcement: “Hello, I’d like to request that a Social Worker to respond to the Pacific Shores Motel. We have two children Brianna and Maria Jefferson (ages 15, and 7) in custody. We may have to arrest their mother for child endangerment and resisting arrest.”
Date: (6 months from today) _________________ CSW: “Mrs. Jefferson, you’ve done very well. I’m pleased to see all of these support systems in place and your case is officially closed.”
![Page 47: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/47.jpg)
Scenario # 3Today’s date: ____ CPHL (Level 12 Group Home)
“This follows up on previous referrals/phone calls on Marco Evans. He continues to physically assault both staff and residents when he gets angry and upset and broke a window during his last outburst. Due to his large stature, (5’11’ and 290 lbs), GH staff are unable to protect themselves and the other residents. We are requesting his immediate removal. He has two siblings (Samuel and Josephine) who are also in foster care and their court hearing is coming up”
Date: (12 months from today):__________________ Judge: “Marcos, Samuel and Josephine Evans are discharged as dependents of the court and the petition is dismissed.”
![Page 48: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/48.jpg)
Decisions/Interventions – Resources and Supports
Decision Intervention Point
?
Tools Resources and Supports
?
![Page 49: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/49.jpg)
Decision Points-Tools/Resources(Some Examples)
IN PERSON RESPONSE? ALLEGATION
SUBSTANTIATED? SAFETY DECISION? ASSESSMENT OF FUTURE RISK
(CASE OPENING OR REFERRAL)?
COURT DECISION? ASSESSMENT/CASE PLAN:
WHAT SERVICES ARE REQUIRED?
DISPOSITION OF CASE? (RE)PLACEMENT DECISION? RE-ASSESSMENT/PLAN
MODIFICATION? PERMANENT PLAN, CASE
CLOSURE?Other
KNOWLEDGE, VALUES, SKILLS
SUPERVISORS, COLLEAGUES (Internal/External)
SERVICE PROVIDERS, CARE-PROVIDERS, CONSULTANTS LAWS
TEAMING STRUCTURES AND STRATEGIES
POLICY GUIDELINES DECISION MAKING AND
ASSESSMENT TOOLS CASE PLAN AGREEMENTS RESEARCH Other
![Page 50: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/50.jpg)
TOOLS RESOURCES AND SUPPORTS:
MENTAL HEALTH NEEDSMENTAL HEALTH SERVICES
AND THE MEANS TO TRACK PROGRESS
?
![Page 51: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/51.jpg)
MH SCREENING & ASSESSMENT
Key Concepts: (A Reminder)Mental Health Screening Tool (MHST), Referral Tracking System, Coordinated Services Action Team (CSAT)
3 FamiliesFamily # 1 Jackson-Washington Family
(Detention Required)
Family # 2 Jefferson Family (Case Opening/No Detention)
Family # 3 Evans Family (Triggering Event and/or Case Plan Update Due)
![Page 52: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/52.jpg)
Family # 1: Washington-Jackson Case
Detention Imminent/Required: All Other
Controlling Interventions Exhausted) Father: Dale Jackson (25)
Mother: Rhonda Washington (25) Child: Joe(Jackson (6),
Child: La Trecee Washington (6)CSW:
• Narration
![Page 53: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/53.jpg)
Family # 1: Washington-Jackson Case
Key Steps/Key PointsAct I Scene 1: Background/ Initial Assessment (SDM,
Other)
Act I: Scene 2: Team Decision Making and Mental Health Screening
Key Points: TDM, HUB and MAT Referral, Consent/Eligibility, Referral Tracking System, CSAT Accessed
Act I: Scene 3: Mental Health Assessment
Key Points: MHST Completed (HUB), MAT Assessment/Summary of Findings, CSAT Accessed
Act I: Scene 4: Mental Health Services Linkage
Key Points: MAT Support for CSW and Service Linkage, CSAT Engaged
![Page 54: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/54.jpg)
Family # 2
The Jefferson Case (Non-Detained: Controlling Interventions
Implemented) Mother: Dorothy Jefferson
Father: Ralph Jefferson (whereabouts unknown)Child: Briana Jefferson (15)Child: Mariah Jefferson (7)
CSW
Narration
![Page 55: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/55.jpg)
Family # 2 : The Jefferson Case Key Steps/Key Points
Act I Scene 1: Background/ Initial Assessment (SDM, Other)
Act I: Scene 2: Team Decision Making and Mental Health Screening
Key Points: TDM, MHST Completed, Service Linkage Specialist and CSAT Engaged, Consent/Eligibility,
Referral Tracking System,
Act I: Scene 3: Mental Health Assessment
Key Points: Co-Located Staff Engaged, Assessment, CSAT Engaged,
Act I: Scene 4: Mental Health Services Linkage
Key Points: Co Located Staff, Service Linkage Specialist and (appropriate) CSAT Support Provided
![Page 56: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/56.jpg)
Family # 3 The Evans Family
(Triggering Event and/or Case Plan Update Due) Mother: Theresa Evans
Father: Sam Dearden - DeceasedChild: Marcos Evans – (13) Child: Samuel Evans – (9)
Child: Josephine Evans – (17) CSW
Narration
![Page 57: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/57.jpg)
Family # 3 : The Evans Case Key Steps/Key Points
Act I Scene 1: Background/ Initial Assessment (SDM, Other)
Act I: Scene 2: Team Decision Making and Mental Health Screening
Key Points: TDM/RMP Process Utilized, Service Linkage Specialist, CSAT Engaged, MHST Completed (if not receiving MH services), Consent/Eligibility, Referral
Tracking SystemAct I: Scene 3: Mental Health Assessment
Key Points: Co-Located Staff, CSAT Engaged
Act I: Scene 4: Mental Health Services Linkage
Key Points: Service Linkage Specialist, CSAT and Co Located Staff Engaged
![Page 58: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/58.jpg)
The “Pause Button”Debriefing the Role Players
Thoughts, Reactions
AND
APPLAUSE!
![Page 59: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/59.jpg)
Epilogue: A Table Activity
Matching Points of Entry --- Key Process
StepsStep One: Match the Point of Entry With Corresponding Process Steps
Step Two: Match Terms With Definitions
![Page 60: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/60.jpg)
![Page 61: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/61.jpg)
It’s easy to feel lost.
![Page 62: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/62.jpg)
Treatment Foster Care
Community Treatment Facilities
EPSDTSystems
Navigators
ISCs
Evidence Based Practices
AB3632
TBS
COD
Crisis Intervention
HUBs
MH Screening Tool
D-R
ate
Prog
ram 730 Evaluations
Psychotropic Authorization
![Page 63: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/63.jpg)
Fortunately, help has arrived.
![Page 64: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/64.jpg)
DMH Specialized Foster Care
Co-Located Staff
![Page 65: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/65.jpg)
Consultation
![Page 66: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/66.jpg)
Information Exchange
![Page 67: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/67.jpg)
Assessment
![Page 68: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/68.jpg)
Brief Treatment
![Page 69: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/69.jpg)
Systems Navigation
![Page 70: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/70.jpg)
Service Linkage
![Page 71: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/71.jpg)
It’s a complicated system out there.
![Page 72: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/72.jpg)
Full Service Partnerships
![Page 73: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/73.jpg)
Intensive In Home MHS Programs
![Page 74: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/74.jpg)
Wraparound
![Page 75: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/75.jpg)
DCFS STUDYThose who graduated from the Wraparound Program were 36 times less likely to have another placement episode than those leaving RCL 12+ facilities that did not receive Wrap services, despite having roughly comparable placement rates before and during their respective treatments.
256
7
264 249
0
100
200
300
Tota
l # o
f Pla
cem
ent E
piso
des
Wraparound Non-Wraparound
Out-of-Home Placements (Wraparound Graduates vs. RCL 12+ Non-Wraparound Youth)
Before Wrap/RCL 12+ After Wrap/RCL 12+
![Page 76: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/76.jpg)
CHILD AND FAMILY TEAM APPROACH
![Page 77: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/77.jpg)
CHILD & FAMILY TEAM
1. Engagement of child, family, formal and informal support systems.
2. Identifies needs and strengths.
3. Develops plan for child and family.
4. Supports plan implementation.
5. Modifies plan, as needed.
6. Transitions to informal supports (i.e., family, church, etc.).
![Page 78: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/78.jpg)
INTENSIVE HOME-BASED SERVICES
![Page 79: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/79.jpg)
INTENSIVE IN-HOME MENTAL HEALTH
SERVICES
![Page 80: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/80.jpg)
It’s not going to be easy
![Page 81: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/81.jpg)
But if we work together
DMH DCFS
![Page 82: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/82.jpg)
Oh, what we will have done!
![Page 83: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/83.jpg)
LUNCH
![Page 84: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/84.jpg)
IMPLEMENTING THE KATIE A. STRATEGIC PLAN
![Page 85: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/85.jpg)
SPA-LEVEL APPRAOCH
![Page 86: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/86.jpg)
LESSONS LEARNED
![Page 87: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/87.jpg)
SPA-LEVEL APPROACH
ART LIERAS: Co-Location
ROBERTA MEDINA: Integration and Referral Population
ANA SUAREZ: Navigation and Linkage
JACQUELYN WILCOXEN: Communication and MAT Platform
![Page 88: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/88.jpg)
CO-LOCATION
REFERS MAINLY TO KEY ‘PHYSICAL’ ASPECTS OF COLLABORATION…
1. Spaces are visible and accessible, versus tucked in the corner; and physical configuration of units;
2. Sensitive about displacing others while moving in co-located staff;
3. Infrastructure: mail, telephone, computers, etc.;
4. Locks on cabinets and chart storage;
5. Physical presence of staff (duty schedules).
![Page 89: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/89.jpg)
INTEGRATION
DIFFERENT PROGRAMS AND SERVICES SUPPORT A COMMON VISION, MISSION, AND VALUES…1. Staff commit to shared mission, goals, and practice
(‘ALL of us help kids walking through the door…’);
2. Align programs with different funding requirements;
3. Clear roles and authority lines;
4. Conditions: need enough time to work out the above areas incrementally; on an informal basis; and top-down and bottom-up processes.
![Page 90: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/90.jpg)
REFERRAL POPULATION
CLEAR CRITERIA AND PROCESSES REGARDING TARGET POPULATION…1. Eligibility criteria: e.g., children in foster care,
detained, open case, placed in/out of SPA, etc.;
2. Policies and procedures from beginning to end;
3. Providers implement shared policies and procedures;
4. Address common ‘structural’ issues, i.e., EPSDT, consent, medical necessity, Court v. Voluntary...
![Page 91: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/91.jpg)
NAVIGATION
OBTAIN KEY INFORMATION AND MAP RESOURCES FOR CHILDREN AND FAMILIES.
1. Gather key documents, such as Medi-Cal, consent, program eligibility, etc.;
2. Utilize co-located staff;
3. DMH: Foster Care Navigators; Service Area Navigators.
![Page 92: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/92.jpg)
LINKAGE
ENSURING APPROPRIATE AND TIMELY SERVICE CONNECTION…
1. Make referral and verify that linkage occurred;
2. Maintain documentation of what happened after linkage;
3. Address overlaps in service;
4. Feedback loop to CSW;
5. Address challenges: initial assessment versus ongoing treatment; following up to linkage beyond initial referrals.
![Page 93: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/93.jpg)
COMMUNICATION
CREATE EFFECTIVE STRUCTURE OF COMMUNICATION AND DECISION-MAKING…1. Central administration and regional administration;
2. Lateral communication/across Departments (i.e., Probation; DMH; DCFS; etc.);
3. Vertical communication within Departments;
4. Communication across SPAs;
5. A structure for decision making, not just communication.
![Page 94: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/94.jpg)
MAT PLATFORM
1. Key component of MH Screening & Assessment;
2. Currently implemented in SPAs 3 and 6; and in all other SPAs by end of fiscal year;
3. Can be a point of focus for DMH, DCFS, and DHS staff to build and expand partnerships to ensure screening and assessment and service linkage for newly detained children;
4. Can help prepare non-pilot offices for easier roll-out of CSAT and other Strategic Plan components.
![Page 95: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/95.jpg)
IMPLEMENTATION: RESOURCES & TOOLS
1. MEETINGS-AT-A-GLANCE
2. ANNOTATED INDEX: STRATEGIC PLAN
3. DMH-DCFS REGIONAL OFFICES ROSTER
![Page 96: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/96.jpg)
IMPLEMENTATION: RESOURCES & TOOLS
1. PROGRAMMATIC OVERVIEW
2. ‘FISH’ CHART
3. KATIE A. WEBSITE
![Page 97: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/97.jpg)
CASEFLOW PROCESS FOR MENTAL HEALTH SCREENING, ASSESSMENT &
SERVICE LINKAGE
![Page 98: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/98.jpg)
BREAK OUT SESSIONS
FOCUSED FEEDBACK ON IMPLEMENTATION OF:
1.MENTAL HEALTH SCREENING & ASSESSMENT
2.MENTAL HEALTH SERVICE DELIVERY
3.OVERALL COORDINATION OF SPA-COUNTY IMPLEMENTATION
![Page 99: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/99.jpg)
BREAK OUT SESSIONS
FOCUSED FEEDBACK…
1.NOT ON WHOLE PLAN
2.NOT CONSENSUS BUILDING
3.NOT ACTION PLANNING
![Page 100: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/100.jpg)
BREAK OUT SESSIONS
STRUCTURE AND SUPPORT…
BREAK OUT SESSIONS BY SPAs & CLUSTER BY OFFICE
ONE FACILITATOR & TWO (OR MORE) PLAN ‘EXPERTS’ AS RESOURCES
RECORDED SESSION
![Page 101: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/101.jpg)
BREAK OUT SESSIONS
1. SPA 1—CLUB A: Second Floor
2. SPA 2—ALUMNI A: Second Floor
3. SPA 3—BOARD ROOM: Second Floor
4. SPA 4—CARDINAL & GOLD ROOM: Second Floor
5. SPA 5—CLUB B: Second Floor
6. SPA 6—FIGUEROA ROOM: Second Floor
7. SPA 7—ALUMNI B: Second Floor
8. SPA 8—CALIFORNIA ROOM: Mezzanine Level
![Page 102: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/102.jpg)
PRESENTATIONS
NON-PILOT SPAs
PILOT SPAs
![Page 103: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/103.jpg)
INTEGRATION
CONVERGENCES?
DIVERGENCES?
![Page 104: Davidson Conference Center December 1, 2008 9:00-4:00 PM 3415 South Figueroa Los Angeles CA 90089.](https://reader038.fdocuments.in/reader038/viewer/2022110304/551bd084550346c3588b540f/html5/thumbnails/104.jpg)
CLOSING