Strong Minds, Strong Futures
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Transcript of Strong Minds, Strong Futures
Strong Minds, Strong FuturesA trauma-informed system of care initiative for adolescents with behavioral health issues and their families
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THE PROBLEMColorado's children and youth with behavioral health challenges and their families often do not receive the integrated services and supports they need, resulting in poor outcomes and high costs.
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3What we know
• 2nd only to WY in use of institutional care (2010 AFCARS data)
• 56.3% of youth in DYC have behavioral health needs requiring professional intervention. (2011 DYC Continuum of Care Report)
• Increase in teen suicides, 49 deaths in 2009. (Kids Count, 2011)
• Children of color overrepresented in corrections and underrepresented in treatment system . (2000 Minority Over-Representation Child Welfare report, 2011 DYC Continuum of Care Report, 2009 DBH Population in Need)
High levels of placement
Poor Outcomes
Health Disparities
Uncoordinated and poor quality care
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4What we know
Themes and Recommended StepsSystem Integration
Program Availability
Prevention and Early Intervention
Cultural Responsiveness
Public Engagement
Family and Youth Partnership
Professional and Workforce Development
Data Collection and Evaluation that is outcome based Flexible Funding
Meta-Analysis of30 Colorado Reports
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5The Vision
Child and Family
Behavioral Health
Child Welfare
Youth Corrections
Education
Health
Community Supports
Colorado’s children with behavioral health challenges will reach their full potential through effective and efficient
services and supports.
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6Key Strategies
• Administrative structure to coordinate care and monitor outcomes
• Improve quality of services and supports
• Implement through cohort community based model
Trauma Informed System of Care
• Families involved at all levels from services to governance
Care Management
Entities
Trauma Informed
System and Services
Communities of Excellence
Family/Youth Partnership
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Care Management Entities
FunctionsWraparound and Care Coordination
Access to Family and Peer Supports
Provider Network Development and Management
Utilization Management
Quality Improvement and Outcomes Management
Training
May be public agency, new non-profit, existing non-profit, non-profit HMOs or for-profit organization
Coordinated with Accountable Care Organizations (Medicaid)
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8Financing
Possible Funding StreamsTitle IV-E Waiver
Medicaid
Behavioral Health Block Grant
Core and AFS
State General Funds
Youth Corrections
Indigent Mental Health Funding
Funding Methods
All inclusive case rates
Fee for service
Partial case rate/bundled
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9Trauma Informed
Click icon to add picture
What happened to you instead of what’s wrong with you?
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A History of Maltreatment is the Norm among Children and Youth in Many Systems From ACF Commissioner Bryan Samuels’ Presentation to Blueprints Conference April 2012 (Miller, EA; Green, AE; Fettes ,DL & Aarons GA., 2011. Data come from a representative sample of 1,715 youths ages 6-18 in San Diego County.
0%20%40%60%80%
100%
Any MaltreatmentMultiple Types of Mal-treatment
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The Overlap of Trauma and Mental Health Symptoms From ACF Commissioner Bryan Samuels’ Presentation to Blueprints Conference April 2012 (Griffin, Kisiel, McClelland Stolback & Holzberg, 2012)
0-6 Year Olds
7-12 Year Olds
13-16 Year Olds
17+ Year Olds
0%10%20%30%40%50%60%70%80%90%
100%
68.02%
33.45%
17.03% 16.25%
11.76%
13.81%
6.93% 6.00%
7.11%
13.56%
21.92%15.75%
13.12%
39.18%
54.13%62.00%
BOTH Trauma and Mental Health Symptoms
Mental Health Symptoms Only
Trauma Symptoms Only
NO symptoms
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Communities of Excellence
Partnership ApproachWork with cohorts of communities to plan and implement
Base services/supports with local adaptation
Culturally responsive
Communities of Excellence serve in advisory role
Similar approach to child welfare practice initiative
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Family/Youth Partnership
• Important part of treatment team
• Part of paid workforce as family advocates and youth mentors
(Voice/Choice Committee- CMP)
• Voting member of Governance Bodies
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14The Plans Align
Winnable Battles
Trauma Informed System of Care
State Plan
CDHS Strategic Plan
Department Plans
Division Plans
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15Outcomes
Outcome IndicatorsChild and FamilyImproved services and supports for children, youth and families
• Youth and families are more empowered• Improved behavioral health outcomes• Improved school attendence• Decreased trauma symptoms• Less substance use
Community LevelChildren receive the right services in the right amounts at the right time
• Reduced use of institutional care/hospitalization/emergency rooms/placement reentry
• Decrease in youth suicide• Decreased truancy rates• Decreased juvenile recidivism• Decreased use of psychotropic drugs• Increased utilization of behavioral health services for
children and youth of color
System LevelDollars saved from institutional care placements are reinvested into community based prevention, early intervention and treatment services
• More use of trained wraparound facilitators• More use of peer supports i.e. family advocates, youth
mentors• More service providers and systems trained in cultural
and linguistic competence• Trauma informed practices integrated into all child and
youth serving systems• Different use of dollars in the child serving systems
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16Oversight
TISOCCommittee of BHTC
Legislative Team
CCYIS
ResearchAnd Evaluation Team
MarketingTeam
Education and Training Team
Collaborative Management Program
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17PartnershipYour Logo Here