Wraparound Care Coordination within

New York State Health Homes Serving ChildrenAngela Keller, LMSW

Joanne Trinkle, MSW

NYS Office of Mental Health

Thomas LaPorte, PhD

Camille Barnes, PhD

Center for Human Services Research, University at Albany

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New York’s Vision: How Did We Get Here?Angela Keller, LMSWProject Co-Director, NYS Systems of Care New York State’s Wraparound Training and Implementation InstituteDivision of Integrated Community Services for Children & FamiliesNYS Office of Mental HealthAlbany, New York

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Children and their families receive the right services, at the right time, in the

right amount.

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Key Components of Children’s Medicaid System Transformation

Transition carved out Behavioral Health services into Managed

Care benefit package

Implement new Behavioral Health Medicaid State Plan

Services for Children

Lift the exemption of children in foster care to enroll in Managed

Care

Align six 1915c Waiver benefit packages across four State

Agencies for children at risk of institutionalization

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Key Components of Children’s Medicaid System Transformation

Expansion of eligibility for Home and Community Based

Services (HCBS) to a new Level of Need Population

(applicable to SED, and Abuse, Neglect, Maltreatment and

Complex Trauma Population)

All services available to eligible members through both the fee-

for-service and Managed Care delivery systems, based on the

individual’s enrollment

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New Behavioral Health Medicaid State Plan Services

• Other Licensed Practitioner

• Crisis Intervention

• Community Psychiatric Supports and Treatment

• Psychosocial Rehabilitation Services

• Family Peer Support Services

• Youth Peer Advocacy and Training

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Alignment of Home & Community Based Services • Respite (Planned and Crisis)

• Caregiver/Family Supports and Services

• Prevocational Services

• Supported Employment

• Community Self-Advocacy Training and Support

• Habilitation

• Adaptive and Assistive Equipment

• Accessibility Modifications

• Palliative Care

• Customized Goods and Services

• Non-Medical Transportation

NYS Systems of Care

Training and Certification Design

Joanne Trinkle, MSWProject Co-Director, NYS Systems of Care New York State’s Wraparound Training & Implementation InstituteDivision of Integrated Community Services for Children & Families, NYS Office of Mental HealthAlbany, New York

NYS Team Model:

Care Management using Wraparound

• The team moves

together as a unit.

• Work within the team is

not a service.

• Wraparound is a

process.

NYS Team Model:

Care Management using Wraparound

• Responsible for CANS NY

• Eligibility

• Plan of Care

• Coordinating and Documenting Work

Towards Progress on ALL Goals

• Accountability for Commitments made

• Lead team to serve within principles

NYS Team Model: Youth Peer Advocacy

using Wraparound • Assist youth to understand process

• Serve as equal member of team, offer

Youth Peer Support Services where/when

needed

• Offer lived experience perspective to

convey message of hope, wellness and

recovery

• Contribute to Plan of Care

• Keep youth voice and vision for their

future in front

NYS Team Model: Family Peer Advocacy

using Wraparound

• Assist family to understand process

• Serve as equal member of the team,

offer Family Peer Support Services

where/when needed

• Offer lived experience perspective to

convey message of hope, wellness

and recovery

• Contribute to Plan of Care

• Keep family vision in front

NYS SOC COHESION MEASUREMENT

THOMAS LAPORTE & CAMILLE BARNESNYS SOC EVALUATION TEAMCENTER FOR HUMAN SERVICES RESEARCH

RATIONALE FOR MEASURING COHESION

NYS SOC will feature a facilitation team

Team cohesion will be important

Team cohesion: degree to which team members work toward common goals and feel a sense of belonging to the team

Two purposes:o examine associationso enhance cohesion

MULTI-METHOD

Group Cohesion Scale (Treadwell, Lavertue, Kumar, & Veeraraghavan, 2001)

25 items rated on 4-point Likert scale

Two time points with ~3 month interval

Observation

Interviews

KEY CONSIDERATIONS

Frequency of measurement and time-points: How

stable is cohesion? Will it increase or decrease given the

nature of the work?

Unstable teams: vacant positions, staff turnover, more

than one individual per role, etc.