24. The locus of services
as well as system
management resting
within a supportive,
adaptive,
infrastructure at the
community level.
25.
26.
27. Being Culturally and linguistically Responsive
Is about respecting the values, beliefs,
norms, rituals, culture and identity of the
youth, the family, and the community
30. is a network of all types of health care
providers for people eligible for the Oregon
Health Plan (Medicaid), including those also
covered by Medicare.
Mental Health
31. 1)Best practices to manage coordinated
care
2)Shared responsibility for health
3)Transparency in price and quality
4)Measuring performance
5)Paying for outcomes and health
6)A sustainable rate of growth
36. Systems of Care All Youth and
Family serving
agencies fall under
the Systems of Care
umbrella.
(Coordinated
Network)
These agencies
support Meaningful
Participation with
Youth and Families.
(Family Driven)
Information is
shared with
each navigated
system agency.
(No Silos)
Funding is
blended to
eliminate
duplication of
services and
increase access
to resources.
(Collaboration
)
37.
38.
39.
40. OFSN Statewide
Office:
1300 Broadway St. NE,
Suite 403
Training dept. Suite 102
Salem, OR 97301
503-363-8068 – Phone
503-390-3161 – FAX
Twitter: @OregonFSN
www.ofsn.org
OFSN’s Statewide Training Program:
Tammi Paul, Training Manager
tammip@ofsn.net
Victoria Haight, Training Coordinator
victoriah@ofsn.net
Shawna Canaga, Statewide Wraparound Trainer
shawnac@ofsn.net
Felicia Marshall, Administrative Assistant
feliciam@ofsn.net
Shannon Boyette, Peer Coach & TA Coordinator
Shannon@ofsn.netOregon Family Support Network
Editor's Notes
Welcome participants
Producer starts class and welcomes p’s to the virtual classroom. Asks that participants mute their phones with *1 Or via their computer on the dropdown menu.
Good morning/afternoon! Welcome to Systems of care and Wraparound 101 – Session 1 – Systems of Care. My name is Victoria Haight and I’ll be your facilitator today.
I hope you all were able to download and print a copy of the participants guide. If not, there’s a copy with the handouts on the bottom right of your screen, under “”
4
Say: “Systems working in isolation on the same challenge can cause disorganization sometimes resulting in conflicting plans and poor results. This leads to frustrations like you’ve described.
Brief history…
Legislation passed in 2009 directs the Department of Human Services, Department of Education, Oregon Youth Authority, and the Oregon Commission on Children
and Families to develop an integrated system of care in Oregon. This is being accomplished by collaboration with local communities to deliver coordinated
services under a Wraparound planning model.
We are going to provide a simplistic overview of a complex model of care. Let’s think about “systems” for a moment. What do we mean by “family & child serving systems”
Use whiteboard and draw an umbrella. Ask participants to name some child serving systems using the chat box (apparently, p’s can’t write on the whiteboard?!).
Using text boxes, write the answers under the umbrella.
Education
Juv Justice
Mental health
WIC
Homeless services
Disability services
DMV
Peer Supports
DHS
Home visitation
Historically, in traditional care, systems and services operate in silos and each system develops its own plans.
This results in multiple plans for the family that are not coordinated
Often this results in families not being able to get their needs met and not being able to address the issues and challenges they face.
This often leads to increased intervention as a result, with youth ending up in the highest levels of care.
Explain that Coordinated/Collaborative care is planning that includes all systems serving a family and jointly develops one plan for a family.
It means working together Integrating the needs and resources of each system to create individualized plans that address all of the family needs across all life domains
In this partnership, all systems are able to fulfill their mandates while creating a plan that meets the needs of the family.
Reflect – what needs to change? Ask volunteers to unmute, write in Chat or reflect and write in their PG (note page).
Whoa. That is not a small or simple change. Complex problems need complex solutions if they are going to be successful.
Use chat: What assumptions or biases are present in the current system? Use whiteboard to garter a list.
Examples? Maybe in some words that are being used.
If different systems are going to work together efficiently, they need to be guided by the SAME values and principles. And those values and principle need to be intimately understood.
Ask p’s to open their p guide and turn to page 3 “Systems of Care”
Ask for a volunteer to unmute and read the first definition from the P’s guide: A System of care is….
Ask for a second volunteer to unmute and read the second definition from the p guide: A System of care is….
Remember I said earlier that if systems are going to work together effectively, they need to share a core set of values and principles.
Another way of looking at it – the core values are….
The philosophy is grounded in the system of care Core Values and principles. These values and principles form the foundation on which the infrastructure, supports and services for families and children are built.
Introduce the 3 Core values
Say that these are the building blocks
What does that mean?
On page 3 of your p’s guide, you’ll find the definition of “Family Driven & Youth Guided.
Poll: Which of these scenarios is family driven and youth guided?
In your p guide, there are 3 scenarios – one is an example of Family Driven and the other 2 are non-examples.
Second example:
Ask a volunteer to read
What does “community based” mean to you?
Type your answer in chat, but don’t send until I tell you. Have people “send”
Compare it to the definition (next slide)
If you were going to embed community based iinto the metaphor – what would it be?
Lets think about the last core value. Most of us can easily define linguistically responsive. But what is culture? What first comes to mind is people from another race, ethnicity and/or nationality, but what about the culture of one’s own family? Think about Thanksgiving dinner – what is one dish that is traditional in your family, but maybe not a traditional Thanksgiving dish? Use chat.
Another poll with 3 scenarios and 1 “all of the above”. List 3 very different, but good examples of “Culturally and linguistically competent”
Ask p’s to open their p guide and turn to page 3 “Systems of Care”
Ask for a volunteer to unmute and read the first definition from the P’s guide: A System of care is….
Ask for a second volunteer to unmute and read the second definition from the p guide: A System of care is….
Remember I said earlier that if systems are going to work together effectively, they need to share a core set of values and principles.
Introduce CCO’s as the “infrastructure for delivering Systems of care in Oregon
Put link in (PG) to website for more info: http://www.oregon.gov/OHA/OHPB/pages/index.aspx
Rules of the road – metaphor. Use pictures for stuff inside parentheses icons in a circle with line connecting.
Infrastructure for community based services.
Talk about the different CCO’s in Oregon and how they are organized and governed.
Explain: Before we talk in detail about the wraparound process, we are going to take a moment to talk about Systems of Care. Across the state of Oregon the Oregon Health Authority has made a commitment to implementing a new way of working with families and their youth. Coordinated Care Organizations have been charged with bringing together professionals from the various systems that serve children and youth to implement this new approach. Families and youth are expected to be part of the planning and oversight. While the initial focus is on providing families who have children with complex mental/behavioral health needs with access to the wraparound process (which we will describe in detail later), it is important to know that this initiative also has the potential to help change “business as usual” in the services and systems that support children and families. This will only happen if we are thoughtful about the process, ensure that families are aware of the opportunity to participate at a systems level and understand the basic approach. For families interested in participating at a systems level, OFSN offers a series of trainings and supports to help guide families through becoming effective advocates within Systems of Care.
Creating a System of Care begins with a commitment on the local and state levels to create SOC.
The values and principles that guide social service practices
System assumptions and biases about children, youth and families
The way systems are designed and collaborate in the interest of children, youth and families
The approach and case practice model
The way services are delivered
Explain: Before we talk in detail about the wraparound process, we are going to take a moment to talk about Systems of Care. Across the state of Oregon the Oregon Health Authority has made a commitment to implementing a new way of working with families and their youth. Coordinated Care Organizations have been charged with bringing together professionals from the various systems that serve children and youth to implement this new approach. Families and youth are expected to be part of the planning and oversight. While the initial focus is on providing families who have children with complex mental/behavioral health needs with access to the wraparound process (which we will describe in detail later), it is important to know that this initiative also has the potential to help change “business as usual” in the services and systems that support children and families. This will only happen if we are thoughtful about the process, ensure that families are aware of the opportunity to participate at a systems level and understand the basic approach. For families interested in participating at a systems level, OFSN offers a series of trainings and supports to help guide families through becoming effective advocates within Systems of Care.
Creating a System of Care begins with a commitment on the local and state levels to create SOC.
The values and principles that guide social service practices
System assumptions and biases about children, youth and families
The way systems are designed and collaborate in the interest of children, youth and families
The approach and case practice model
The way services are delivered
