The MYPAC program provides mental health services to children in their homes and communities as an alternative to psychiatric residential treatment. It offers two types of respite care - in-home respite provides short-term out-of-home placement with family or friends, while community-based respite involves placement in foster, group homes, or with relatives. Placement requires approval from counselors, supervisors, and regional supervisors based on the child's needs. Respite aims to give parents and children a break from challenges at home. Outcomes include decreased child behaviors and successful returns home without long-term out-of-home placement. Approximately 65% of families use in-home respite and 20% use community-based

1. Program Evaluation of MYPAC: Respite Division

2. Describe the Program History - started July of 07 What is the program - MYpac is a youth program where children can get mental health services in their home and communities instead of going to a psychiatric residential treatment program (PRTF).

3. Children in the MYPAC program Children with emotions and behavior, drug use, and getting into trouble have been linked to mental health and this is the population for MYPAC.

4. Respite care Two types In-Home based or community-based (TFC, Group home. or relative placement) In-home- short term out of home that involves support individuals (other family members, friends, etc). No limited amount out of home with this respite)

5. Criteria Counselor will discuss that need with his or her supervisor Counselor/supervisor will determine what time of in- home respite is needed(home based, TFC, Group home, relative) Supervisor will discuss the need with the regional supervisor. Supervisor/Regional supervisor will determine what type of respite is approved

6. Criteria Counselor( and supervisor if needed) will contact the family to discuss the respite options and will put into place any safety plans needed and discuss expectations regarding the youth’s return home and continuation of treatment intensity Regional supervisor will contact the MS placement department for current respite families that can accept the youth Once a youth is placed at the respite location an established discharge date needs to be targeted

7. Length of Stay – depends on needs of the child

8. Pro’s It allows the parent a break from the child Child are not being placed in PRTF Counselor can continue to work with parents and respite parents

9. Con’s Child is away from home Not very many homes available for respite care No process that insures length of stay be limited

10. Outcome If child behaviors decrease Child returns home Child is not placed into Out –of- home respite

11. Statistic of Respite 65% of MYPAC families utilize In home respite

12. How is it Funded? It is funded through Medicaid. What happen to children without Respite - 1) Detention center 2) Jail 3) Shelter

13. What types of problems does the kids have that are in Respite aggressive behavior cursing runaway defiant unmanageable violent/destructive

14. Is it staffed properly ? Yes, counselor in the home and on call 24 hours

15. Out of Home (institutional) respite –It is when a youth is placed in a RTC (PRTF) or acute setting for respite services fro no longer than 29 days. This type of respite is only used as a last resort and after every type of intervention and respite has been used.

16. Criteria of Out of Home Placement Counselor will discuss that need with his or her supervisor Clinical Supervisor will discuss reason for non-community respite with Regional Supervisor Regional Manager will obtain approval from Assistant Director/Director Regional Supervisor will send e-mail notification to Placement Services and include: date of admission, reason youth has been requested to receive non- community respite, intervention attempted, why the intervention have been non-successful

17. Criteria continued…. Once a youth is placed at the residential center an established discharge date needs to be targeted The Counselor needs to obtain a release from the family to obtain and psychiatric documentation and treatment.

18. Length of Stay 29 day consecutively and 45 days per year

19. Pro’s?? It allows the Parent a break from the child Counselors continues to focus on goals while in respite care Counselor assist in transitioning the youth back to home as quickly as possible Length of stay on 29 days

20. Con’s? Child is away from home Respite care is out of state for this organization No process that insures length of stay be limited

21. Outcome? Significant finding, summary of goals achieved, summary of goal not achieved, summary of current support system, Description of current needs/recommendations

22. Statistic of Respite 20% of MYPAC families utilize Out- of-home respite How is it funded? It is funded through Medicaid

23. What happen to children without Respite? 1) Detention center 2) Jail 3) Shelter 4) Out of home respite

24. What types of problems does the kids have that are in Respite? aggressive behavior cursing runaway defiant unmanageable violent/destructive

25. Is it staffed properly ? Yes, counselor in the home is still on call 24 hours and facilities have adequate staff with 24 hours supervision