FidelityEHR is an electronic health record designed to support coordinated care models and improve outcomes for children and youth with behavioral and mental health challenges. It was developed based on evidence-based practices like system of care and wraparound models. FidelityEHR allows for family-driven, youth-guided care by capturing each person's insights and preferences. It also supports culturally competent, individualized, and community-based care. The platform facilitates team collaboration and tracks outcomes to help organizations deliver high-fidelity coordinated care.
Improve Outcomes for Children in Foster Care by Reforming Congregate Care Pay...Public Consulting Group
In child welfare, there is growing emphasis on keeping children at home, and when that isn’t possible, placing them with relatives or in other family-like settings. Secure attachments to consistent caregivers are critical for the healthy development of children and youth, especially for very young children.Congregate care placements are also significantly costlier than traditional foster care or kinship care placements.
Hertfordshire County Council adopted a whole systems approach to population mental health in October 2016 to better promote prevention. This approach was informed by 20 "must dos" like good parenting, school mental health programs, adult resilience training, and reducing loneliness. In 2018, the county signed the Prevention Concordat for Better Mental Health to further develop this approach. The 20 areas are being progressed, with a focus on four priorities: improving young people's mental wellbeing through better emotional support, earlier identification of issues, easier access to help, and reducing stigma. Regular reports update progress across organizations on each of the "must dos."
The document discusses Family Assertive Community Treatment (FACT), a program run by Heartland Alliance that provides services to at-risk homeless families in Chicago. FACT uses a harm reduction approach and team of professionals to provide comprehensive services including mental health treatment, substance abuse treatment, parenting support, housing assistance, and more directly to families in their homes and communities. The principles of harm reduction emphasized by FACT include meeting clients where they are, recognizing any reduction in risky behavior, and focusing on clients' strengths and self-determination.
The document discusses achieving emotional wellbeing for looked after children. It finds that looked after children are approximately four times more likely to have mental health issues than other children. It identifies five priorities for improving support: embedding wellbeing throughout the system, taking a proactive approach, giving children voice, supporting relationships, and aiding care leavers' needs. Analysis suggests that lack of support for wellbeing could be more costly than preventing placement breakdowns through specialist help. The report calls for a whole system focus on children's wellbeing across social care and health.
Policy recommendations designed to transform federal funding to support best practices in child welfare were the focus of this presentation delivered by Tracey Feild and Patrick McCarthy at an October 23, 2013, briefing on Capitol Hill.
This document discusses a proposed capstone project to implement routine maternal depression screening in pediatrician offices. It begins by outlining the problem of unidentified maternal depression which can negatively impact child development. It then discusses using Pender's Health Promotion Model as a theoretical framework, focusing on self-efficacy and the role of caregivers in child health. Finally, it proposes an implementation plan which would involve obtaining approval from the author's leadership at Community Care of Southern Piedmont to introduce routine screening in pediatric visits as part of quality improvement efforts. The goal is to improve outcomes for mothers, children, and the community.
SPARC Webinar: Child Welfare and the Affordable Care Actmdanielsfirstfocus
The document discusses opportunities for child welfare agencies and health systems to better coordinate and connect under the Affordable Care Act (ACA). It notes that while Medicaid/health and child welfare systems are both overwhelmed, they can benefit each other. The ACA expands coverage, benefits like behavioral health, and promotes integrated care. It provides three major opportunities - for parents, children, and youth aging out of foster care. For the latter group, the ACA requires states to enroll former foster youth in Medicaid until age 26. The document outlines action steps stakeholders can take to prepare for these changes and ensure foster youth obtain and maintain coverage. It emphasizes the need to start planning and preparing now to fully capitalize on ACA opportunities.
Making the case jan 09 (3) 28 oct 2008Gary Jenkins
The document discusses the importance of collaboration and integration across health and education agencies to address disparities. It notes that minority communities are disproportionately impacted by achievement gaps, sexually transmitted diseases, HIV, and unintended teen pregnancy. Health and education disparities are often influenced by the same root causes, including lack of access to services, stigma, and socioeconomic factors. The document advocates for recognizing the benefits of collaboration, such as improved health and academic outcomes for at-risk youth. It also acknowledges barriers but stresses the importance of making progress, for example by strengthening partnerships and sharing data.
Improve Outcomes for Children in Foster Care by Reforming Congregate Care Pay...Public Consulting Group
In child welfare, there is growing emphasis on keeping children at home, and when that isn’t possible, placing them with relatives or in other family-like settings. Secure attachments to consistent caregivers are critical for the healthy development of children and youth, especially for very young children.Congregate care placements are also significantly costlier than traditional foster care or kinship care placements.
Hertfordshire County Council adopted a whole systems approach to population mental health in October 2016 to better promote prevention. This approach was informed by 20 "must dos" like good parenting, school mental health programs, adult resilience training, and reducing loneliness. In 2018, the county signed the Prevention Concordat for Better Mental Health to further develop this approach. The 20 areas are being progressed, with a focus on four priorities: improving young people's mental wellbeing through better emotional support, earlier identification of issues, easier access to help, and reducing stigma. Regular reports update progress across organizations on each of the "must dos."
The document discusses Family Assertive Community Treatment (FACT), a program run by Heartland Alliance that provides services to at-risk homeless families in Chicago. FACT uses a harm reduction approach and team of professionals to provide comprehensive services including mental health treatment, substance abuse treatment, parenting support, housing assistance, and more directly to families in their homes and communities. The principles of harm reduction emphasized by FACT include meeting clients where they are, recognizing any reduction in risky behavior, and focusing on clients' strengths and self-determination.
The document discusses achieving emotional wellbeing for looked after children. It finds that looked after children are approximately four times more likely to have mental health issues than other children. It identifies five priorities for improving support: embedding wellbeing throughout the system, taking a proactive approach, giving children voice, supporting relationships, and aiding care leavers' needs. Analysis suggests that lack of support for wellbeing could be more costly than preventing placement breakdowns through specialist help. The report calls for a whole system focus on children's wellbeing across social care and health.
Policy recommendations designed to transform federal funding to support best practices in child welfare were the focus of this presentation delivered by Tracey Feild and Patrick McCarthy at an October 23, 2013, briefing on Capitol Hill.
This document discusses a proposed capstone project to implement routine maternal depression screening in pediatrician offices. It begins by outlining the problem of unidentified maternal depression which can negatively impact child development. It then discusses using Pender's Health Promotion Model as a theoretical framework, focusing on self-efficacy and the role of caregivers in child health. Finally, it proposes an implementation plan which would involve obtaining approval from the author's leadership at Community Care of Southern Piedmont to introduce routine screening in pediatric visits as part of quality improvement efforts. The goal is to improve outcomes for mothers, children, and the community.
SPARC Webinar: Child Welfare and the Affordable Care Actmdanielsfirstfocus
The document discusses opportunities for child welfare agencies and health systems to better coordinate and connect under the Affordable Care Act (ACA). It notes that while Medicaid/health and child welfare systems are both overwhelmed, they can benefit each other. The ACA expands coverage, benefits like behavioral health, and promotes integrated care. It provides three major opportunities - for parents, children, and youth aging out of foster care. For the latter group, the ACA requires states to enroll former foster youth in Medicaid until age 26. The document outlines action steps stakeholders can take to prepare for these changes and ensure foster youth obtain and maintain coverage. It emphasizes the need to start planning and preparing now to fully capitalize on ACA opportunities.
Making the case jan 09 (3) 28 oct 2008Gary Jenkins
The document discusses the importance of collaboration and integration across health and education agencies to address disparities. It notes that minority communities are disproportionately impacted by achievement gaps, sexually transmitted diseases, HIV, and unintended teen pregnancy. Health and education disparities are often influenced by the same root causes, including lack of access to services, stigma, and socioeconomic factors. The document advocates for recognizing the benefits of collaboration, such as improved health and academic outcomes for at-risk youth. It also acknowledges barriers but stresses the importance of making progress, for example by strengthening partnerships and sharing data.
The webinar, “Getting to Permanence: The Practices of High-Performing Child Welfare Agencies,” highlights the importance of prioritizing family relationships and ensuring children and teens in foster care have enduring connections to loving, nurturing adults in their lives.
The Physician's Campaign is an educational initiative designed to equip physicians and healthcare providers with up-to-date information about the impact of bullying exposure on patients' health. It aims to train providers to screen youth for bullying involvement and help those affected. The campaign will provide continuing education programs and online resources to help physicians translate research on bullying's health consequences into practice. Its goal is to empower physicians to champion children's well-being and mental health by improving their ability to detect and respond to bullying exposure.
Early childhood home visiting programs can help address the needs of young homeless children and families by targeting services to high-risk populations. Several proven home visiting models, such as Early Head Start and Nurse-Family Partnership, focus on child development, healthcare access, and parenting support. Successful partnerships have integrated housing/homelessness services with child development interventions to meet families' long-term needs. States are encouraged to prioritize home visiting services for at-risk groups including low-income families, teenage parents, those with substance abuse issues, and families involved with child welfare.
The document summarizes a business plan for The Hub, a proposed expansion of StopGap Inc. that would provide foster youth ages 16-21 with resources and classes to learn independent living skills in a two-bedroom house. The plan outlines StopGap's mission, the current situation of foster youth aging out without support, and a theory of change, business model, metrics, scaling strategy, risks, team, and phased implementation approach for The Hub. The resource requirements to launch The Hub include a $24,095 startup capital raised through grants, crowdsourcing, and donations.
Creating sustainable, comprehensive school mental health programs is far from easy and made even more difficult by all the various available funding streams. Learn about the many different federal, state, and local funding sources that can be braided together to create full continuums of mental health services in schools. This workshop will help school-based health centers, schools, county mental health partners, and advocates understand the various streams of public funding available for mental health services in schools and equip participants with strategies on how to access funding streams. We will also unveil our brand new toolkit about school mental health funding.
Providing Effective In-Home Therapy Services to Haitian FamiliesMyrtise Kretsedemas
The document discusses providing in-home therapy services to Haitian families. It notes that Haitian children often have low utilization and retention of mental health services. In-home therapy aims to address children's mental health issues by strengthening family structures and supports using a team-based, strengths-focused approach. Some benefits of in-home therapy for Haitian families include increased utilization and retention of services, greater family participation in therapy, and connecting isolated families to community resources. Cultural factors like levels of trust, family roles, and the importance of faith must also be considered.
Shaquita Ogletree explores the GA Department of Family and Children Services policies and the law surrounding access to health insurance and medicaid for older foster youth or youth who will age out.
How can partners support one another to prevent perinatal depression and anxi...Pam Pilkington
Copyright Partners to Parents 2016.
Award winning speech presented at the Australasian Marce Society for Perinatal Mental Health 2015 Conference.
Findings used to create www.partnerstoparents.org
This document outlines plans to establish the Upstate Coalition for Adolescents and Young Adults (UCAYA) in the Upstate region of South Carolina. It notes high rates of health risk behaviors among adolescents and a lack of adolescent-focused care in the region. UCAYA would take a holistic, multidisciplinary approach to address physical, mental, and social health needs through education, empowerment, collaboration, and connection of patients, families, providers and communities. It proposes a three-phase plan to first gather input, then develop an online presence, and finally open a physical center to integrate services and provide comprehensive adolescent care.
Kinship care, where children are raised by extended family instead of parents, is a growing practice. Kinship caregivers face challenges including lack of financial support, legal ambiguity, and stress. They have greater needs for parenting skills, health resources, and emotional support compared to non-kinship foster care. Children raised in kinship care are at risk for behavioral, academic, and emotional issues stemming from their family situations, but may benefit from greater family connection and stability compared to non-kin foster care. Effective support strategies include support groups, education programs, and ensuring kinship caregivers' needs are met separately from children's supervision needs.
Presentation w ith sources and full informationguest4fcc5da
This document provides information on best practices for out-of-home foster care placements based on research from 2004-2009. It discusses types of placements like foster homes and group homes, as well as problems that can occur with placements like instability and separation of siblings. Nine best practices are then presented: 1) pre-screening homes for suitable matches, 2) providing consistent medical/academic services, 3) matching mentors to children, 4) reducing social worker turnover, 5) minimizing multiple placements, 6) increasing involvement in case planning, 7) decreasing time in placements, 8) encouraging attachment bonding, and 9) considering biological and foster family bonds for permanency placements. Suggested applications are provided for each best practice.
2015 National Conference on Problem Gambling: Prevention Showcase
Presenters: Amanda Burke, Kelly Willis, Jennifer Lease, Colleen Fitzgibbons, Ashley Trantham, Alex Leslie, Liz McCall
The document provides an overview of recent federal child welfare policy and legislation. It discusses the Preventing Sex Trafficking and Strengthening Families Act of 2014 which aims to address child sex trafficking, promote permanency, and allow for normalcy for foster youth. It also summarizes proposals from the President's 2016 budget, Senator Wyden regarding prevention services, and Senator Hatch related to reducing congregate care. The document analyzes implementation opportunities and challenges of the new laws and policies.
This video is part of the Adolescent Health: Think, Act, Grow℠ (TAG) webinar series on successful strategies for improving adolescent health. Suzanne Elder shares information about Chicago's youth-focused agenda.
David Bolt explains the Georgia Families 360 health care plan administered by Amerigroup for children in foster care. His presentation explores applying for coverage, the role of plan coordinator, accessing services, and more.
The document discusses the current state of knowledge around early childhood care and development (ECCD) in emergency settings. It notes that while awareness of the importance of ECCD in emergencies has grown, significant gaps remain in understanding how to best support young children. It calls for more robust research that incorporates local contexts and uses mixed methodologies to evaluate interventions. Within 10 years, the document envisions ECCD being better integrated with other sectors and informed by an evidence base of promising practices developed through collaborative networks.
A Conversation on Care Coordination for Children with Medical Complexity: Who...LucilePackardFoundation
Care coordination is an important approach to addressing the fragmented care that children with medical complexity often encounter. What are optimal care coordination services? How does care coordination intersect with care integration and case management? Learn best practices and how to implement a process that will achieve improved outcomes and value for children with special health care needs and their families.
The document discusses various Children's Health Access Program (CHAP) efforts around the state of Michigan. It begins with an overview of CHAP's goal to provide coordinated preventative care through medical homes for children on Medicaid. It then provides details on CHAP programs in several counties, including: the original program in Kent County; the adapted model in Wayne County focusing on access; setbacks faced in Kalamazoo and Ingham counties; and developing programs in Macomb and Saginaw counties working to establish medical homes and centralized intake.
Promote children's social emotional and behavioral healthlimiacorlin
State policymakers can promote children's social, emotional, and behavioral health through a continuum of strategies. An effective approach establishes aspirations and uses data to drive decisions, measure progress, and ensure accountability. Key elements include supporting healthy development, families, and treatment for those in need. Data on conditions like autism and ADHD in children informs target-setting to improve outcomes. Recommended strategies begin with promoting early childhood social and emotional development through initiatives to increase public understanding and integrating support into existing programs.
Rider, 2005 Comparison of CW-BH Values and PrinciplesFrank Rider
This document compares the principles of behavioral health and child welfare systems. Some key similarities include the importance of collaboration with children and families, individualized service planning, and providing services in the least restrictive environment possible. Some differences include behavioral health's focus on functional outcomes while child welfare focuses on safety, permanency and well-being. The document also stresses the importance of coordination across systems serving children, culturally competent services, and planning for transitions.
The webinar, “Getting to Permanence: The Practices of High-Performing Child Welfare Agencies,” highlights the importance of prioritizing family relationships and ensuring children and teens in foster care have enduring connections to loving, nurturing adults in their lives.
The Physician's Campaign is an educational initiative designed to equip physicians and healthcare providers with up-to-date information about the impact of bullying exposure on patients' health. It aims to train providers to screen youth for bullying involvement and help those affected. The campaign will provide continuing education programs and online resources to help physicians translate research on bullying's health consequences into practice. Its goal is to empower physicians to champion children's well-being and mental health by improving their ability to detect and respond to bullying exposure.
Early childhood home visiting programs can help address the needs of young homeless children and families by targeting services to high-risk populations. Several proven home visiting models, such as Early Head Start and Nurse-Family Partnership, focus on child development, healthcare access, and parenting support. Successful partnerships have integrated housing/homelessness services with child development interventions to meet families' long-term needs. States are encouraged to prioritize home visiting services for at-risk groups including low-income families, teenage parents, those with substance abuse issues, and families involved with child welfare.
The document summarizes a business plan for The Hub, a proposed expansion of StopGap Inc. that would provide foster youth ages 16-21 with resources and classes to learn independent living skills in a two-bedroom house. The plan outlines StopGap's mission, the current situation of foster youth aging out without support, and a theory of change, business model, metrics, scaling strategy, risks, team, and phased implementation approach for The Hub. The resource requirements to launch The Hub include a $24,095 startup capital raised through grants, crowdsourcing, and donations.
Creating sustainable, comprehensive school mental health programs is far from easy and made even more difficult by all the various available funding streams. Learn about the many different federal, state, and local funding sources that can be braided together to create full continuums of mental health services in schools. This workshop will help school-based health centers, schools, county mental health partners, and advocates understand the various streams of public funding available for mental health services in schools and equip participants with strategies on how to access funding streams. We will also unveil our brand new toolkit about school mental health funding.
Providing Effective In-Home Therapy Services to Haitian FamiliesMyrtise Kretsedemas
The document discusses providing in-home therapy services to Haitian families. It notes that Haitian children often have low utilization and retention of mental health services. In-home therapy aims to address children's mental health issues by strengthening family structures and supports using a team-based, strengths-focused approach. Some benefits of in-home therapy for Haitian families include increased utilization and retention of services, greater family participation in therapy, and connecting isolated families to community resources. Cultural factors like levels of trust, family roles, and the importance of faith must also be considered.
Shaquita Ogletree explores the GA Department of Family and Children Services policies and the law surrounding access to health insurance and medicaid for older foster youth or youth who will age out.
How can partners support one another to prevent perinatal depression and anxi...Pam Pilkington
Copyright Partners to Parents 2016.
Award winning speech presented at the Australasian Marce Society for Perinatal Mental Health 2015 Conference.
Findings used to create www.partnerstoparents.org
This document outlines plans to establish the Upstate Coalition for Adolescents and Young Adults (UCAYA) in the Upstate region of South Carolina. It notes high rates of health risk behaviors among adolescents and a lack of adolescent-focused care in the region. UCAYA would take a holistic, multidisciplinary approach to address physical, mental, and social health needs through education, empowerment, collaboration, and connection of patients, families, providers and communities. It proposes a three-phase plan to first gather input, then develop an online presence, and finally open a physical center to integrate services and provide comprehensive adolescent care.
Kinship care, where children are raised by extended family instead of parents, is a growing practice. Kinship caregivers face challenges including lack of financial support, legal ambiguity, and stress. They have greater needs for parenting skills, health resources, and emotional support compared to non-kinship foster care. Children raised in kinship care are at risk for behavioral, academic, and emotional issues stemming from their family situations, but may benefit from greater family connection and stability compared to non-kin foster care. Effective support strategies include support groups, education programs, and ensuring kinship caregivers' needs are met separately from children's supervision needs.
Presentation w ith sources and full informationguest4fcc5da
This document provides information on best practices for out-of-home foster care placements based on research from 2004-2009. It discusses types of placements like foster homes and group homes, as well as problems that can occur with placements like instability and separation of siblings. Nine best practices are then presented: 1) pre-screening homes for suitable matches, 2) providing consistent medical/academic services, 3) matching mentors to children, 4) reducing social worker turnover, 5) minimizing multiple placements, 6) increasing involvement in case planning, 7) decreasing time in placements, 8) encouraging attachment bonding, and 9) considering biological and foster family bonds for permanency placements. Suggested applications are provided for each best practice.
2015 National Conference on Problem Gambling: Prevention Showcase
Presenters: Amanda Burke, Kelly Willis, Jennifer Lease, Colleen Fitzgibbons, Ashley Trantham, Alex Leslie, Liz McCall
The document provides an overview of recent federal child welfare policy and legislation. It discusses the Preventing Sex Trafficking and Strengthening Families Act of 2014 which aims to address child sex trafficking, promote permanency, and allow for normalcy for foster youth. It also summarizes proposals from the President's 2016 budget, Senator Wyden regarding prevention services, and Senator Hatch related to reducing congregate care. The document analyzes implementation opportunities and challenges of the new laws and policies.
This video is part of the Adolescent Health: Think, Act, Grow℠ (TAG) webinar series on successful strategies for improving adolescent health. Suzanne Elder shares information about Chicago's youth-focused agenda.
David Bolt explains the Georgia Families 360 health care plan administered by Amerigroup for children in foster care. His presentation explores applying for coverage, the role of plan coordinator, accessing services, and more.
The document discusses the current state of knowledge around early childhood care and development (ECCD) in emergency settings. It notes that while awareness of the importance of ECCD in emergencies has grown, significant gaps remain in understanding how to best support young children. It calls for more robust research that incorporates local contexts and uses mixed methodologies to evaluate interventions. Within 10 years, the document envisions ECCD being better integrated with other sectors and informed by an evidence base of promising practices developed through collaborative networks.
A Conversation on Care Coordination for Children with Medical Complexity: Who...LucilePackardFoundation
Care coordination is an important approach to addressing the fragmented care that children with medical complexity often encounter. What are optimal care coordination services? How does care coordination intersect with care integration and case management? Learn best practices and how to implement a process that will achieve improved outcomes and value for children with special health care needs and their families.
The document discusses various Children's Health Access Program (CHAP) efforts around the state of Michigan. It begins with an overview of CHAP's goal to provide coordinated preventative care through medical homes for children on Medicaid. It then provides details on CHAP programs in several counties, including: the original program in Kent County; the adapted model in Wayne County focusing on access; setbacks faced in Kalamazoo and Ingham counties; and developing programs in Macomb and Saginaw counties working to establish medical homes and centralized intake.
Promote children's social emotional and behavioral healthlimiacorlin
State policymakers can promote children's social, emotional, and behavioral health through a continuum of strategies. An effective approach establishes aspirations and uses data to drive decisions, measure progress, and ensure accountability. Key elements include supporting healthy development, families, and treatment for those in need. Data on conditions like autism and ADHD in children informs target-setting to improve outcomes. Recommended strategies begin with promoting early childhood social and emotional development through initiatives to increase public understanding and integrating support into existing programs.
Rider, 2005 Comparison of CW-BH Values and PrinciplesFrank Rider
This document compares the principles of behavioral health and child welfare systems. Some key similarities include the importance of collaboration with children and families, individualized service planning, and providing services in the least restrictive environment possible. Some differences include behavioral health's focus on functional outcomes while child welfare focuses on safety, permanency and well-being. The document also stresses the importance of coordination across systems serving children, culturally competent services, and planning for transitions.
1) The document provides recommendations for counties to improve and expand infant and early childhood mental health services. It encourages training professionals on social-emotional development, implementing universal screenings of young children, and developing coordinated, integrated systems of care across agencies.
2) Recommendations include increasing public awareness, screening children ages 0-5 for risks, and providing family-focused treatment using evidence-based practices. Services should be culturally sensitive and address the child's overall development.
3) Funding streams like EPSDT often require symptoms meet "medical necessity" thresholds before services can be billed. The report suggests using alternative diagnostic tools and combining funding sources to serve more children.
PCG Human Services White Paper - Cross-System Approaches That Promote Child W...Public Consulting Group
Child welfare agencies can successfully partner with Medicaid and managed care organizations to address the complex health and behavioral needs of children who experience maltreatment. If prevention and intervention efforts are applied early and effectively, these high-risk children and youth may avoid costly health conditions and experience improved health and psychological outcomes.
Child abuse and neglect is an important concern that negatively affects the physical and psychological well-being of a population that is already vulnerable. Increased preventive services to children in high-risk households can help states minimize the cost of health/medical services to deep-end youth, reduce the number of children with chronic medical conditions and can improve general well-being outcomes. Providing targeted prevention programs and interventions to these children of at-risk families have been shown to reduce the cost of providing intensive services to children with poor health outcomes later on.
Children who are investigated for maltreatment or enter the child welfare system have greater health needs. Children investigated by the welfare system have been found to have 1.5 times more chronic health conditions than the general population. After controlling for other risk factors, children with maltreatment reports have a 74-100% higher risk of hospital treatment. Over 28% of children involved with maltreatment investigations are diagnosed with chronic health conditions during the three years following the investigation.
Maximizing System-Level Data to Address Health and Social Complexity in ChildrenLucilePackardFoundation
An innovative methodology using system-level data to identify children with health complexity, that is based on medical and social complexity, is transforming how they consider improving quality of care in Oregon. Learn about this new standardized approach, developed by the Oregon Pediatric Improvement Partnership and Oregon Health Authority, and how it has helped inform priority areas, potential policy improvements, investments and partnerships in support of children with health complexity.
Proposed changes in health care payment, from fee-for-service to alternative, risk-sharing payment models, can have a substantial impact on health services for children, especially those with complex care needs. In addition, tying payment to value can increase use of ambulatory and preventive services and encourage creative outreach. However, abrupt changes can interrupt continuity and reduce access to care.
The purpose of this Health Policy Study is to better understand adolescents’ views on what are considered core components of the medical home and identify barriers to promoting adolescent health in relation to the medical home.
In addition, this study sought to better understand the needs and challenges in providing adolescents with access to medical homes—from the perspective of both adolescents and experts in adolescent health and medical home policy. To accomplish these goals, researchers conducted focus groups with adolescents, presented these findings to experts, and gathered experts’ reactions to the adolescents’ perspectives. This report includes a detailed description of the methods used for this study, followed by a summary of key focus group findings and the expert reactions to these findings.
This document summarizes findings and recommendations from a project on kinship carers. It finds that kinship carers' needs and those of children in their care are often unmet. It recommends that more research be done to understand kinship care placements and the core needs of carers. National and local authorities should give increased attention to meeting kinship carers' needs, and other agencies should consider the whole family's needs. Reducing stigma and developing resources for carers could have positive impacts. More research is also recommended on prevention programs and risks for children in kinship care.
The document discusses trends in pediatric nursing. It defines trends as remarkable changes due to advances in medicine, technology, and nursing. Key trends discussed include family-centered care, enabling and empowerment, high-technology care, evidence-based practice, atraumatic care, cost containment, and prevention/health promotion. The role of families in child care is also emphasized. Nursing aims to provide holistic care through a family-centered approach while containing costs and using evidence-based practices.
The document discusses trends in pediatric nursing. It defines trends as remarkable changes due to advances in medicine/technology and changing nursing needs. Key trends discussed include family-centered care, enabling/empowerment, high-tech care, evidence-based practice, atraumatic care, cost containment, and prevention/health promotion. It also discusses the roles of nursing process, primary nursing, case management, and ethical principles in pediatric care. The importance of family in a child's development, socialization, skills, and security is also highlighted.
Ader et al (2015) The Medical Home and Integrated Behavioral Health Advancing...Ben Miller
This document discusses recommendations for advancing the integration of behavioral health and primary care. It recommends:
1. Building demonstration projects to test integrated care approaches and evaluate them using standardized measures.
2. Developing training programs for integrated care teams, which typically include the patient, primary care provider, behavioral health specialist, and care manager.
3. Implementing population-based strategies to improve behavioral health and strengthen relationships between practices and community resources.
Tips for your health care : FAMILY ORIENTED NURSINGRachel Masih
Family-oriented nursing aims to meet the health needs of the family as a whole. It involves assessing the family structure, lifestyle, medical history, and developing a nursing care plan. The care plan may utilize different approaches like problem-oriented nursing, progressive patient care, and team nursing. Problem-oriented nursing addresses specific health issues, progressive patient care matches nursing needs to care levels, and team nursing assigns nurses and aids to collaborate on patient care. Overall, family-oriented nursing takes a holistic approach to promote family health and well-being through open communication and collaboration between nurses, patients, and family members.
Social prescribing is an intervention that aims to address patients' non-clinical needs by connecting them with local community services and activities like arts, leisure, learning, or volunteering groups. It has shown positive mental, emotional, and social benefits. The advantages include reduced need for clinical care, increased patient autonomy, and acknowledgment of socioeconomic factors impacting health. The US model incorporates a social prescribing coordinator and volunteers to guide patients to alternative services and support individual needs. UK clinicians agree patients' social needs are as important as medical conditions, and social prescribing could help address unmet resource needs in primary care.
REQUEST for PROPOSAL FOR SEMESTER PROJECT.docxkellet1
REQUEST for PROPOSAL
FOR
SEMESTER PROJECT
Mental Health Service project
PREPARED BY
Your Name
Name of University
October 2018
PART 1
Needs Statement
Goals
Objectives
NEED STATEMENT
The rising international trend in the number of parents who separate or divorce is raising concerns about long-term consequences for child and youth well-being and adjustment to adulthood.
Separation and divorce may increase risks for negative outcomes in physical, mental, educational and psychosocial well-being during childhood and later, as youth transition to adulthood. Most children of separated and divorced families do not have significant or diagnosable impairments.
Most children and youth experience initial painful emotions including sadness, confusion, fear of abandonment, anger, guilt, grief, and conflicts related to loyalty and misconceptions. Although many children and youth of separating or divorcing parents experience distressing thoughts and emotions, the overwhelming majority do not experience serious outcomes. However, even small negative effects constitute a serious public health problem when multiplied by the millions of individuals who experience separation or divorce.
Due to the effect of the divorce on the kids, they tend to be stubborn and are wild and erratic in behavior which is usually harmful to the children. It affects their daily relationship, academics, and personal lives.
Divorce can increase the risk of mental health problems in children and adolescence. Regardless of age, gender, and culture, studies show children of divorced parents experience increased psychological problems. Divorce may trigger an adjustment disorder in children that resolves within a few months. But, studies have also found depression and anxiety rates are higher in children from divorced parents.
According to our research conducted, children of divorced parents scored significantly lower than children of continuously married parents on measures of academic achievement, conduct, psychological adjustment, self-concept, and social relations. More recent research continues to suggest an ongoing gap between children of divorced parents and continuously married parents. The negative impact of divorce can reach into adulthood and even later in adult married life, with potential increases in poverty, educational failure, risky sexual behavior, unplanned pregnancies, earlier marriage or cohabitation, marital discord, and divorce
The extent to which the negative outcomes associated with parental divorce reflect dysfunctional processes that arise before parental separation, such as interparental conflict.
The document discusses the importance of permanency for youth in foster care through family reunification and reintegration into their communities. It describes Casey Family Programs' goal of reducing the need for foster care by half while strengthening families. The CPS Reintegration Project aims to move youth with complex needs from group homes back into family care through intensive wraparound services. The video highlights key values like prioritizing permanency for all youth, family engagement, cultural competency, and providing long-term support post-reunification.
Join us for an interactive, reflective, and hands-on learning session for school and mental health leaders. Together, we will build out your leadership toolkit to develop the mental health systems and practices on your school campus. In this workshop, we will cover the best practices for school mental health, funding streams (such as Medi-Cal and the Mental Health Services Act) that sustain those practices, and policy approaches that support them. Participants will leave with strategies and knowledge that will support enhanced leadership to drive school mental health equitably in their school community.
As health care and financing systems become more sophisticated, health care systems are increasingly using a process known as "risk tiering" to group patients with similar degrees of need for health care and care coordination services. Families and care providers of children with chronic and complex conditions should understand the risk tiering process, as it may affect access to services these children need.
This document discusses establishing relationships and communicating with parents of children in early childhood education. It emphasizes listening to parents, developing partnerships through shared decision making, and honoring the parental role. Information is exchanged through various formal and informal strategies like daily reports, notices, and newsletters. Educators will collaborate with parents on care practices to provide continuity between home and the service, such as following routines for sleep, feeding, toilet training, and behavior management. The document also addresses responding respectfully to any parental concerns according to the complaints policy, and maintaining privacy and confidentiality. A community resource file is suggested to help families access support services.
This document discusses the high costs of child abuse and neglect on physical and psychological well-being. Children who experience abuse have greater health needs and costs, with estimated lifetime costs per victim of over $200,000. The document outlines opportunities for states to partner across agencies to address the health needs of at-risk children, including Section 1115 waivers, health homes, care coordination, and data sharing initiatives. These partnerships aim to provide early intervention and reduce long-term health costs and risks while improving outcomes.
Going Where the Kids Are: Starting, Growing, and Expanding School Based Healt...CHC Connecticut
Webinar broadcast on: June 28 | 3 P.M. EST
This webinar will address the benefits, challenges, and strategic advantages of a school based health center program from a clinical, data, quality, operational viewpoint, communications, and community engagement perspective. Experts will share the strategy for integrating oral health and behavioral health to ensure the best outcomes for patients.
Similar to FidelityEHR Care Coordination eBook Final Print (20)
2. Delivering Care To Children and Youth In Need
One in 10 youth will experience mental health challenges that are severe enough to impair their ability
to function at home, at school and in the community. Of these children, 10 percent will drop out of
high school as a result of their disorder.1
Many of the children and youth who are afflicted by severe
emotional disturbances lack access to care. In fact, based on a recent NIH national survey, only half of
all children and youth in need of behavioral and emotional health care services end up receiving them.
Those who are able to access care may not receive an appropriate treatment plan due to gaps in the
child welfare system and a lack of information sharing between health care providers, family members,
and community supports who work with the child or youth.
The Case for Good Care Coordination: Better Outcomes, Reduced Costs
Coordinated care is difficult to standardize, because each child or youth requires a customized care plan.
That said, all care coordination models have two things in common: the strategies are team-based,
involving more than two participants, and family-driven. Care coordination, when implemented well, has
been shown to provide many benefits for children and youth who experience significant behavioral and
mental health challenges, and their families. Some of these benefits include:
• Improved care outcomes and overall health
• Greater satisfaction for the youth, family and providers
• Reduced costs associated with care fragmentation and over-utilization of care
Coordinated care models ultimately function to reduce gaps in the child welfare system. This helps
deliverbetteraccess to care,while offering a more effective and less expensive alternative to emergency
department visits, residential treatment and hospitalizations, or juvenile justice programs.2
Why Integrated Care is Federally Recommended
In 2013, the Center for Medicaid and Medicare Services and SAMHSA released a statement that
encouraged States to use the Medicaid program to cover a range of behavioral and mental health
services, including: care coordination, intensive home-based services, family support, respite care, and
Wraparound care.
Good care coordination has been proven to improve
outcomes for children and youth who suffer from
significant behavioral and mental health challenges.
1 National Center for Children in Poverty, Children’s Mental Health: What Every Policymaker Should Know
2 Banghart, P.; Cooper, J.L. 2010. Unclaimed Children Revisited: Focusing on Outcomes – A Case Study of the Michigan Level of Functioning Project. New York, NY: National Center for Children in
Poverty, Columbia University Mailman School of Public Health.
3. WHO IS ELIGIBLE FOR COORDINATED CARE?
Five core considerations are used to determine a child or youth’s eligibility3
1. Condition or Diagnosis
The child or youth needs to have a specific condition or diagnosis. This criteria varies based
on a wide range of factors, including state and federal requirements, clinical judgment,
payer preferences, and advocacy initiatives.
2. Medicaid Eligibility
The child or youth must be currently enrolled in Medicaid, and these programs are often
limited and varied by state.
3. Age
Some children and young adults may be excluded based on their age due to transition
issues when a child ages out of their eligibility.
4. Payer Cost Savings
Care coordination may be prioritized when the payer identifies that it provides a return
on investment by replacing “unnecessary” or “avoidable” services, such as emergency
department visits or hospitalization.
5. Risk Analysis
Will the child or youth’s care be expensive to payers? Is the individual involved in foster care
or child welfare programs? Does the individual experience complicated medical, social or
support-based challenges? Based on the organization and family’s needs, risk will be taken
into consideration when determining care coordination eligibility.
What Does High Fidelity Care Coordination Look Like?
Successful care coordination models take into consideration many aspects of each child or youth’s lives, which
includes: their community, culture and beliefs, language skills, academic background, the youth’s core competencies
and strengths, family and life at home, medical history, nutrition, community partnerships and supports, social services
and mental, behavioral, and emotional health.
Care coordination is separate from disease management or even case management. Although both case management
and care coordination produce individualized care plans, coordinated care requires a team and network of providers as
opposed to a singular agency. Studies show that outcome-based systems are able to track youth outcomes, improve
provider capacity and tailor services.2
3 Bachman, S; Comeau, M; Jankovsky, K. 2015. The Care Coordination Conundrum and Children and Youth with Special Health Care Needs.
4. Providing Care Coordination through Systems of Care
The system of care is a framework and philosophy for delivering effective care coordination. It involves coordinated
collaboration across a network of provider agencies, youths, and families. The goal is to provide children and youth
who experience seious emotional disturbances (SED) with enhanced accessibility to the treatment they need.
Systems of care also aim to improve outcomes through coordinated care that reflects each individual’s strengths,
needs, background and social supports.
Improving Outcomes through Care Coordination
A recent SAMHSA report shows that the rate of suicidal thoughts among children and youth with SED who received
system of care services dropped by 26% in six months and 43% in one year.5
Systems of care are encouraged to
abide by guiding values and principles to ensure better care coordination outcomes. In addition, accountability has
been shown to render better fidelity to the system of care practice model. In particular, 10 core factors, defined
as the Getting To Outcomes® (GTO) guidelines, should be considered when deploying a system of care strategy
to improve accountability: Needs and resources, Goals, Best Practices, Fit, Capacities, Plan, Process Evaluation,
Outcome Evaluation, Quality Insurance, and Sustainability.6
4 McKay, M. M.; Hibbert, R.; Hoagwood, K.; Rodriguez, J.; Murray, L.; Legerski, J.; et al. 2004. Integrating Evidence-based Engagement Interventions into “Real World” Child Mental Health Settings.
Brief Treatment and Crisis Intervention 4(2): 177-186. 5SAMHSA Children website. Applicable URL accessed on May 5, 2016. 6Getting to Outcomes In Systems of Care. July 2009. Icons provided by
Freepik at www.flaticon.com
The system of care should
be heavily informed by the
needs of the youth and their
family. Understanding the
youth’s needs and strengths
will help determine the
right mix of services and
supports needed.
Supports in the community
are a fundamental facet
of the system of care
philosophy. They help
contribute to youth and
family engagement. In turn,
this engagement has been
shown to improve treatment
efficacy.4
Agencies, services
and treatment programs
should reflect the cultural,
ethnic, linguistic and racial
differences of the youth and
their family. This helps deliver
better access to treatment
and helps to eliminate
disparities in care.
SYSTEM OF CARE VALUES
Culturally &
Linguistically Informed
Family Driven
& Youth Guided
Community Based
5. HOW FIDELITYEHR ALIGNS
WITH SYSTEM OF CARE GUIDING VALUES
FidelityEHR was designed to support family-driven and team-based
coordinated care models to produce better emotional health outcomes
for children and youth. These values are:
1. Family Driven
2. Youth Guided
3. Evidence Based
4. Cultural & Linguistic Competence
5. Individualized and Community Based
1.
FAMILY
DRIVEN
Families have a primary decision-making role when it comes to
the care of their children, and they should be involved in:
• Choosing supports, services and providers
• Setting goals
• Designing and implementing programs
• Monitoring outcomes
• Determining the effectiveness of all efforts
How FidelityEHR supports Family Driven care coordination:
• FidelityEHR captures family-centered interviews, insights, family
timelines, and family systems assessments that inform the treatment
plan
• Care plans embed signatures from family and youth to ensure their
consent and that their views and needs have been acknowledged
• Team meeting worksheets incorporate ongoing assessment of family
support, connections, and satisfaction
• Youth and family can log in to the health record portal to access
messages, reminders, educational resources for diagnoses and
medications, a copy of the treatment plan, and other features that
display shared data regarding goal tracking and interests
6. 2.
YOUTH
GUIDED
Youth guided systems of care engage the youth as an equal
partner in creating change to produce better outcomes.
Feedback from youth will help to inform policies and procedures at
the individual, community, state and national levels.
FidelityEHR emphasizes youth and family preferences, visions
and strengths to promote self-efficacy
• The EHR tracks both initial and ongoing assessments of needs and
strengths identified by the youth. These insights help to shape strategies
that reflect care plan’s goals and anticipated outcomes
• FidelityEHR captures youth-centered interview, insights, timelines, and
family systems assessments that inform the treatment care plan
• Care plans embed signatures from youth to ensure their consent and
that their views and needs have been acknowledged
• Team meeting worksheets incorporate ongoing assessment of youth
support, connections, and satisfaction
• The youth has access to their FidelityEHR health record portal where
theycan find messages, reminders, educationalresources fordiagnoses
and medications, a copy of the treatment plan, and other features that
display shared data regarding goal tracking and interests
• Youth can complete standardized assessments, such as the CANS,
CAFAS and WFI-EZ
3.
EVIDENCE
BASED
Evidence-based practices are important facets of an effective
coordinated care service delivery system.
Feedback from youth will help to inform policies and procedures at the
individual, community, state and national levels.
FidelityEHR is the only electronic health record provider that
continues to conduct ongoing evidence-based research to
demonstrate improved care coordination efficacy in systems of
care.
• Better fidelity is rendered to care coordination models due to its
outcome-based configuration and ongoing real-time data analysis
• Based on the team’s goals and strategies, FidelityEHR’s team meeting
worksheet includes all core assessments and case notes to track both
baseline and ongoing progress made toward the treatment plan’s goals
• Core Assessment outcomes are graphically monitored in the Youth
Record dashboard, making it easy to share outcomes with all team
members:
7. • Youth Needs Progress • Residential Outcomes
• Family Satisfaction • Youth Connections
• School Outcomes • Family Connections
• Community Outcomes
• Customizable assessments and licensed assessments, such as the
CANS or CAFAS, can be integrated to support outcome-based and
data-driven decision-making
4.
CULTURAL
& LINGUISTIC
COMPETENCE
Agencies, programs and services should reflect the cultural, racial
and ethnic diversity of the system of care’s populations.
Cultural competence evolves over time and helps stakeholders to work
effectively in cross-cultural situations.
How FidelityEHR supports cultural competence:
• The care plan and Team Meeting Worksheet emphasize the team’s
understanding of the youth and family’s values and beliefs regarding
challenges, as well as their preferences for next steps
• Gender, race, ethnicity, language, cultural and spiritual domains are
assessed and tracked in FidelityEHR
• Primary caregiver, legal guardian and multiple family members are
included and can be given access to the EHR
• Community-based outcomes are assessed continuously in FidelityEHR
5.
INDIVIDUALIZED
& COMMUNITY
BASED
Each child or youth that is provided care through a system of care
should have a customized care plan that is developed by the
family team.
Community-based services have been shown to be enhanced through
building partnerships with service systems and resources throughout the
childoryouth’scommunity.Managementanddecision-makingresponsibility
are also provided to community stakeholders, such as teachers, mentors,
coaches, community group leaders and more.
Quickly update the Treatment Plan information and collaborate
with family team and community team members in FidelityEHR.
• Youth and family vision building for both home and community
integration into the treatment plan is a critical piece in the puzzle.
• FidelityEHR offers ongoing assessment in these domains.
• Service and billing options are customizable and highly flexible to
reflect any care coordination practice environment.
• Team meeting reminders, invites and messaging between meetings
are delivered through FidelityEHR
8. FidelityEHR is designed to make every day more efficient
Instead of forcing users to fit their unique practice into a rigid health record, FidelityEHR generates data that
directly applies to the way each user prefers to manage their cases and track outcomes. Since the beginning,
FidelityEHR software development has involved significant field testing and purposeful development to make it
user-friendly, practical and, most importantly, helpful to care managers.
What can FidelityEHR do?
FidelityEHR's blueprint reflects evidence-based practice models from: System of Care, Wraparound, Integrated
Behavioral Healthcare and Person-Centered Planning.
How it was designed:
FidelityEHR received financial support from the National Institutes for Health to develop and field test the
software through a partnership with Eric J. Bruns, Ph.D. at the University of Washington. Over 70 behavioral health
organizations are currently active field test members, and the EHR combines feedback and user testing insights
from over 100 different organizations. By conducting continuous user field-testing research, FidelityEHR stays
current and directly reflects what users want most out of their results-based health record software.
Customized to align with a wide range of coordinated care models, FidelityEHR uses cutting-edge technical
features to provide a flexible repository of information. The important aspects of the EHR are that it:
1. SUPPORTS TEAM-BASED COLLABORATION:
The platform facilities easy and secure communication and information sharing between team members.
2. PROVIDES A HOLISTIC VIEW:
FidelityEHR integrates with medical electronic health records, to provide a holistic depiction of the
youth’s overall mental, behavioral and physical well-being.
3. RECORDS RESULTS:
It aids supervision by helping track staff performance evaluation, while analyzing services,
implementation, and costs associated with meaningful outcomes.
STREAMLINED DATA ENTRY,
BETTER OUTCOMES.
Let one of our solutions architects show you how FidelityEHR
has helped system of care organizations cut costs, maintain
fidelity to their care model and improve outcomes.
www.fidelityehr.com/demo
1.888.978.8305 | 2100 Calle de la Vuelta, C-202, Santa Fe, NM 87505 | www.fidelityehr.com