Washington State Systems of Care Project Overview
O
U
T
C
O
M
E
S
:
Governance structure
that includes family
and youth leaders
with decision-making
authority at every
level of the system;
policy, program
design, evaluation
and service delivery
A system that
provides a
comprehensive and
equitably accessible
array of services to
children, youth, and
families
Services that are
integrated, flexible,
and capable of
meeting individual
needs , including the
needs of youth with
the most complex
needs
I
S
S
U
E
S
:
Need to develop
Systems of Care as
the foundation for
service delivery for
children with SED
served across
multiple systems
Need to rebalance
“deep end” resources
Need to take
wraparound, based
on NWI, to scale with
statewide expansion
of SOC
G
O
A
L
S
:
1. Infuse SOC values
in all systems for
children, youth
and families
2. Ensure services are
seamless for
children and
youth and their
families
3. Build access and
availability of
home and
community-
based services
4. Develop and
strengthen a
workforce that
operationalizes
SOC values
5. Build strong data
management
systems to inform
decision- making
and track
outcomes
S
T
R
A
T
E
G
Y
/
A
C
T
I
O
N
S
:
Implement governance
structure
Build a framework of policy,
funding and practice
standards that remove
barriers to services and
supports
Align funding to strengthen
interagency collaboration to
develop sustainable
financing for array of home
and community based
services and supports
Develop a workforce to
enhance family driven,
youth guided, person
centered recovery
resiliency services and
supports
Utilize governance
structure to provide
oversight and input from
development to analysis of
evaluation data
management
C
O
R
E
V
A
L
U
E
S
:
Family driven and
youth Guided…
Community based…
Culturally and
linguistically
competent …
V
I
S
I
O
N
A
N
D
P
O
P
U
L
A
T
I
O
N
O
F
F
O
C
U
S
:
The Washington State System of Care Project will expand systems of care statewide with family-driven,
youth-guided core values fully integrated in all parts of the SOC Governance Structure that reviews and
approves infrastructure for state-level funding, policy, program and practice changes. The SOC
expansion will focus primarily on youth ages 13-18 with serious emotional disturbances (SED), out-of-
home placement, and/or juvenile justice/child welfare histories
DRAFT
C
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n
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Family & Youth Leads,
Research Lead, SOC
Staff
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Regional FYSPRT Membership includes representation from community partners such as:
Family and Youth Organizations, Tribes, Schools, Ethnic Groups, Faith Community, MH &CD Providers, RSN,CA, JRA, Law Enforcement, Probation
DRAFT
*
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Families and youth are invited
and attend meetings
Families and youth are informed
members of the governance and
service delivery teams and vote
in all areas
Family and youth leaders serve in
leadership positions in all levels
of the governance and delivery
systems
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Washington State System of Care Project
Our goals are achieved and put into action through our value of
Family Driven and Youth Guided Care
DRAFT
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DRAFT
I
S
S
U
E
S
:
Need to develop Systems of Care as the
foundation for service delivery for children with
serious emotional disturbances (SED) served
across multiple systems
Need to rebalance “deep end” resources
Need to take wraparound, based on National
Wraparound Initiative (NWI), to scale with
statewide expansion of SOC
DRAFT
G
O
A
L
S
:
1. Infuse SOC values in all systems for children, youth and
families
2. Ensure services are seamless for children and youth and
their families
3. Build Access and availability of home and community-
based services
4. Develop and strengthen a workforce that operationalizes
SOC values
5. Build strong data management systems to inform
decision-making and track outcomes
DRAFT
C
O
R
E
V
A
L
U
E
S
:
Family driven and youth Guided, with strengths and
needs of the child and family determining the types of
mix of services and supports provided
Community based, with the locus of services as well as
system management resting within a supportive,
adaptive infrastructure of structures, processes, and
relationships at the community level
Culturally and linguistically competent, with agencies,
programs, and services that reflect the cultural, racial,
ethnic, and linguistic differences of populations they
serve to facilitate access to and utilization of appropriate
services and supports
DRAFT
S
T
R
A
T
E
G
Y
/
A
C
T
I
O
N
S
:
Implement governance structure
Build a framework of policy, funding and practice standards
that remove barriers to services and supports
Align funding to strengthen interagency collaboration to
develop sustainable financing for array of home and
community based services and supports
Develop a workforce to enhance Family Driven, Youth
Guided, person centered recovery resiliency services and
supports
Utilize a Governance Structure that provides oversight and
input from development to analysis of evaluation data
management
DRAFT
O
U
T
C
O
M
E
S
:
A governance structure that includes family and youth
leaders with decision-making authority at every level of
the system; policy, program design, evaluation and
service delivery
A system that provides a comprehensive and equitably
accessible array of services to children, youth, and
families
Services that are integrated, flexible, and capable of
meeting individual needs, including the needs of youth
with the most complex needs
DRAFT
V
I
S
I
O
N
A
N
D
P
O
P
U
L
A
T
I
O
N
O
F
F
O
C
U
S
:
The Washington State System of Care Project
will expand systems of care statewide with
family-driven, youth-guided core values fully
integrated in all parts of the SOC Governance
Structure that reviews and approves
infrastructure for state-level funding, policy and
practice changes. The SOC expansion will
focus primarily on youth ages 13-18 with
serious emotional disturbances (SED), out-of-
home placement, and/or juvenile justice/child
welfare histories
DRAFT
S
y
s
t
e
m
s
o
f
C
a
r
e
(
S
O
C
)
E
x
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W
A
S
H
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N
G
T
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N
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T
A
T
E
Department of Social and Health Services (DSHS)
Secretary and Assistant Secretaries
Tribal Leadership
Family and Youth Leadership
Office of the Superintendent of Public Instruction (OSPI) Leadership
Department of Health (DOH) Leadership
Health Care Authority (HCA) Leadership
DRAFT
S
t
a
t
e
w
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d
e
F
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m
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l
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Y
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&
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P
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R
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d
T
a
b
l
e
(
F
Y
S
P
R
T
)
M
E
M
B
E
R
S
H
I
P
System of Care (SOC) Family & Youth Leads
G
o
v
e
r
n
m
e
n
t
a
l
P
a
r
t
n
e
r
s
:
Office of the Superintendent of Public Instruction (OSPI) Lead
Department of Health (DOH) Lead
Health Care Authority (HCA) Lead
Tribal Representative
S
y
s
t
e
m
P
a
r
t
n
e
r
s
:
Division of Behavioral Health and Recovery (DBHR)
Chemical Dependency (CD)
Division of Developmental Disabilities (DDD)
Children’s Administration (CA)
Juvenile Rehabilitation Administration (JRA)
1 to 3 Representatives from each of the four Regional FYSPRT’s
DRAFT
The Washington State Systems of Care Project aims to expand family-driven, youth-guided core values into all aspects of service delivery. Focusing on youth aged 13-18 with emotional disturbances, out-of-home placements, and juvenile justice backgrounds, the project seeks to create a governance structure that approves state-level funding and policy changes while ensuring seamless, community-based services. Core values include family-driven and youth-guided approaches with a strong emphasis on data management for informed decision-making.
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Presentation Transcript
Washington State Systems of Care Project Logic Model VISION AND POPULATION OF FOCUS: The Washington State System of Care Project will expand systems of care statewide with family-driven, youth-guided core values fully integrated in all parts of the SOC Governance Structure that reviews and approves infrastructure for state-level funding, policy, program and practice changes. The SOC expansion will focus primarily on youth ages 13-18 with serious emotional disturbances (SED), out-of- home placement, and/or juvenile justice/child welfare histories STRATEGY/ACTIONS: GOALS: ISSUES: OUTCOMES: Implement governance structure 1. Infuse SOC values in all systems for children, youth and families Need to develop Systems of Care as the foundation for service delivery for children with SED served across multiple systems Governance structure that includes family and youth leaders with decision-making authority at every level of the system; policy, program design, evaluation and service delivery Build a framework of policy, funding and practice standards that remove barriers to services and supports 2. Ensure services are seamless for children and youth and their families Need to rebalance deep end resources Align funding to strengthen interagency collaboration to develop sustainable financing for array of home and community based services and supports A system that provides a comprehensive and equitably accessible array of services to children, youth, and families Services that are integrated, flexible, and capable of meeting individual needs , including the needs of youth with the most complex needs 3. Build access and availability of home and community- based services Need to take wraparound, based on NWI, to scale with statewide expansion of SOC Develop a workforce to enhance family driven, youth guided, person centered recovery resiliency services and supports 4. Develop and strengthen a workforce that operationalizes SOC values CORE VALUES: Family driven and youth Guided 5. Build strong data management systems to inform decision- making and track outcomes Utilize governance structure to provide oversight and input from development to analysis of evaluation data management DRAFT Community based Culturally and linguistically competent
DRAFT Washington State Systems of Care Project Systems of Care (SOC) Executive Team Secretary and Assistant Secretaries Tribal Leadership Family and Youth Leadership OSPI,DOH,HCA Leadership Work Groups Finance Statewide FYSPRT Membership: SOC Family & Youth Leads Governmental Partners: Tribal Representative System Partners : CA,DOH,JRA,CD, OSPI,DDD,HCA,DBHR 1 to 3 Representatives from each of the 4 Regional FYSPRT s ** Authority Detailed in Charter Cross System Initiative Team Workforce Development Community Collaboration Team Data, Evaluation & Quality Assurance Facilitation Team This temporary team will merge into the Regional FYSPRT or the Statewide FYSPRT team as selected. Family & Youth Leads, Research Lead, SOC Staff Policy & Practice Southwest Washington Family Youth & System Partners Round Table Lead Organization: PAVE Southeast Washington Northwest Washington Northeast Washington Family Youth & System Partners Round Table Family Youth & System Partners Round Table Family Youth & System Partners Round Table Lead Organization: NAMI Yakima Lead Organization: Sound Mental Health Family Network Resource Group Lead Organization: Passages Spokane Regional FYSPRT Membership includes representation from community partners such as: Family and Youth Organizations, Tribes, Schools, Ethnic Groups, Faith Community, MH &CD Providers, RSN,CA, JRA, Law Enforcement, Probation
Goal #1: Infuse SOC values in all systems for children, youth and families, in Policy and Regulatory Changes SOC Services and Supports Financing Mechanisms Training, TA and Coaching Utilizing strategies and activities such as: Increase service provision for consumer operated services that are Medicaid reimbursable Develop SOC Community Learning Collaborative SOC Values and Principles infused in all contract language Implement CMH core practices model (Wraparound) Cross system training for consumer operated services (House Bill 2654) (Regional FYSPRTs) As a result, we will realize Family Driven and Youth Guided practice and care at all levels of systems of care DRAFT
Goal #2: Ensure services are seamless for children, youth and families, in Policy and Regulatory Changes Social Services and Supports Financing Mechanisms Training, TA and Coaching Utilizing strategies and activities, such as Implement Parent Initiated Treatment law to ensure parents fully informed of psychiatric treatment options Implement Child & Family Teams for youth w/intensive mental health needs Agencies collaborate to align funding (Finance Work Group) Develop cross system protocols, consistent process and quality management Explore funding options for the creation of system navigators As a result, we will realize SOC services coordinated through child & family teams that bring together the involved systems and natural supports DRAFT
Goal #4: Develop and strengthen a workforce that operationalizes SOC values, in Policy and Regulatory Changes SOC Services and Supports Financing Mechanisms Training, TA and Coaching Utilizing strategies and activities, such as Develop a SOC training institute in partnership with and co-led by UW Family, Youth & DBHR Leverage Block Grant to support training Develop and implement policy and procedures for a trained workforce Train staff to implement wraparound care coordination and CFTs Implement training and coaching for family and youth peer counselors As a result we will realize A workforce that has fully integrated systems of care values and principles for services to children, youth and families DRAFT
Washington State System of Care Project Our goals are achieved and put into action through our value of Family Driven and Youth Guided Care Family and youth leaders serve in leadership positions in all levels of the governance and delivery systems Family Driven & Youth Guided Families and youth are informed members of the governance and service delivery teams and vote in all areas Family & Youth Engagement Families and youth are invited and attend meetings Family & Youth Involvement DRAFT
Challenges/Questions for Moving Forward with Plan Advance paradigm shift of family and youth leaders sharing decision making authority at all policy, program design, evaluation and service delivery levels of systems of care Maintain engagement of family, youth, and system partners to achieve equitable partnerships in all aspects of mental health services and supports Establish a Behavioral Health Administrative WAC which will allow Behavioral Health Agencies and other community child serving agencies to provide a specific set of services such as; Wraparound, consumer, youth and family peer support under a limited scope agency designation by Washington Administrative Code (WAC) Establish agreed upon inter and intra agency policies, protocols and practices that support seamless mental health services and supports for children, youth and families DRAFT
ISSUES: Need to develop Systems of Care as the foundation for service delivery for children with serious emotional disturbances (SED) served across multiple systems Need to rebalance deep end resources Need to take wraparound, based on National Wraparound Initiative (NWI), to scale with statewide expansion of SOC DRAFT
GOALS: 1. Infuse SOC values in all systems for children, youth and families 2. Ensure services are seamless for children and youth and their families 3. Build Access and availability of home and community- based services 4. Develop and strengthen a workforce that operationalizes SOC values 5. Build strong data management systems to inform decision-making and track outcomes DRAFT
CORE VALUES: Family driven and youth Guided, with strengths and needs of the child and family determining the types of mix of services and supports provided Community based, with the locus of services as well as system management resting within a supportive, adaptive infrastructure of structures, processes, and relationships at the community level Culturally and linguistically competent, with agencies, programs, and services that reflect the cultural, racial, ethnic, and linguistic differences of populations they serve to facilitate access to and utilization of appropriate services and supports DRAFT
STRATEGY/ACTIONS: Implement governance structure Build a framework of policy, funding and practice standards that remove barriers to services and supports Align funding to strengthen interagency collaboration to develop sustainable financing for array of home and community based services and supports Develop a workforce to enhance Family Driven, Youth Guided, person centered recovery resiliency services and supports Utilize a Governance Structure that provides oversight and input from development to analysis of evaluation data management DRAFT
OUTCOMES: A governance structure that includes family and youth leaders with decision-making authority at every level of the system; policy, program design, evaluation and service delivery A system that provides a comprehensive and equitably accessible array of services to children, youth, and families Services that are integrated, flexible, and capable of meeting individual needs, including the needs of youth with the most complex needs DRAFT
VISION AND POPULATION OF FOCUS: The Washington State System of Care Project will expand systems of care statewide with family-driven, youth-guided core values fully integrated in all parts of the SOC Governance Structure that reviews and approves infrastructure for state-level funding, policy and practice changes. The SOC expansion will focus primarily on youth ages 13-18 with serious emotional disturbances (SED), out-of- home placement, and/or juvenile justice/child welfare histories DRAFT
Systems of Care (SOC) Executive Team WASHINGTON STATE Department of Social and Health Services (DSHS) Secretary and Assistant Secretaries Tribal Leadership Family and Youth Leadership Office of the Superintendent of Public Instruction (OSPI) Leadership Department of Health (DOH) Leadership Health Care Authority (HCA) Leadership DRAFT
Statewide Family Youth & System Partners Round Table (FYSPRT) MEMBERSHIP System of Care (SOC) Family & Youth Leads Governmental Partners: Office of the Superintendent of Public Instruction (OSPI) Lead Department of Health (DOH) Lead Health Care Authority (HCA) Lead Tribal Representative System Partners: Division of Behavioral Health and Recovery (DBHR) Chemical Dependency (CD) Division of Developmental Disabilities (DDD) Children s Administration (CA) Juvenile Rehabilitation Administration (JRA) 1 to 3 Representatives from each of the four Regional FYSPRT s DRAFT
