LEARNING COLLABORATIVE CONVENING

LEARNING COLLABORATIVE CONVENING

Central RegionOctober 28, 2013

AGENDA• INTRODUCTIONS• OVERVIEW OF ISSUES• FACILITATED DISCUSSION TO :

• DISCUSS CURRENT STATUS OF LOCAL IMPLEMENTATION• IDENTIFY HIGH PRIORITY AREAS OF REGIONAL CONCERN AND

BEGIN BRAINSTORMING• IDENTIFY ISSUES FOR STATEWIDE SUPPORT AND RESOLUTION• IDENTIFY TRAINING AND TECHNICAL ASSISTANCE NEEDS

• NEXT STEPS FOR REGIONAL COLLABORATION

• Establish a cohesive regional group• Learn current status of regional implementation• Identify top 5 priority areas• Identify issues for statewide support and resolution• Identify training and TA needs• Establish timeline, schedule, format(s) for regional meetings

and communication

GOALS FOR TODAY

Hospitalizations for Mental Health Issues, by Age Group: 2007 - 2011 (Age Group: All)

Note: Double-click this table to adjust the table formatting.

Definition: Number of hospitalizations for mental health issues among children and youth ages 5-19, by age group.

Data Source: As cited on kidsdata.org, Special Tabulation by the California Office of Statewide Health Planning and Development (Feb. 2013). California Dept. of Finance, 2000-2010 Estimates of Population by Race/Ethnicity with Age and Gender Detail; and State and County Population Projections by Race/Ethnicity and 5-year Age Groups, 2010-2060 (by year). Accessed at http://www.dof.ca.gov (Feb. 2013).



Definition: Number of hospitalizations for mental health issues per 1,000 children and youth ages 5-19, by age group.


































Depression-Related Feelings, by Grade Level: 2008-2010 (Grade Level: All; Answer: All)


Definition: Percentage of students in grades 7, 9, and 11, and non-traditional students, reporting whether in the past 12 months, they had felt so sad or hopeless almost every day for two weeks or more that they stopped doing some usual activities. The grade levels included in school district-level data depend on the grades offered in each school district; for example, high school districts do not include 7th grade data. "Non-traditional" students are those enrolled in Community Day Schools or Continuation Education.

Data Source: As cited on kidsdata.org, California Department of Education, California Healthy Kids Survey (WestEd). http://www.wested.org/chks

















Child Population: 2009 - 2013


Definition: Estimated population under age 18.

Data Source: As cited on kidsdata.org, California Dept. of Finance, Race/Ethnic Population with Age and Sex Detail, 1990-1999, 2000-2010, 2010-2060 (May 2013); U.S. Census Bureau, Current Population Estimates, Vintage 2012 (June 2013).

Region Number

2008 2009 2010 2011 2012

Fresno County 2,584 2,482 2,356 2,025 1,822

San Luis Obispo County

371 307 322 338 365

Santa Barbara County 579 607 549 565 531

Tuolumne County 89 95 95 98 106

Number of Children in Foster Care: 2008 - 2012


Definition: Number of children under age 21 in foster care as of July 1 of each year.

Data Source: As cited on kidsdata.org, Needell, B., et al. (Apr. 2013). Child Welfare Services Reports forCalifornia, U.C. Berkeley Center for Social Services Research; U.S. data come from Child Trends analysis of Adoption & Foster CareAnalysis & Reporting System data by the National DataArchive on Child Abuse & Neglect, as cited on KIDS COUNT (Apr. 2013).

AGENCY LEADERSHIPThis section relates to leadership’s experience implementing family-centered services in a collaborative setting.

Need Developing Strength

1 23

CW and MH leadership have an articulated strategy for collaborating across systems to ensure family-centered practices have system-wide support.

SB

SLO

T

F

CW and MH leadership create and support opportunities for collaborative projects between agencies.

SB

T

F

SLO

CW and MH leaders have a shared vision of family-centered care.SB F

SLO

TCW and MH leaders share responsibility and accountability for implementing timely services.

Timely is defined according to local practices.SB

T

FSLO

Forums exist for information sharing and cross-system problem solving that include families and other community partners.

SB

SLO

T

F

Families and other community members have a meaningful role in oversight of services and quality improvement activities.

SB

SLOT F

Interagency and Community Committees are in place to ensure policies and practices are consistent with family-centered principles of care.

SB

T

SLO

F

CW and MH leaders regularly discuss issues affecting access to services.SB

SLO

TF

CW and MH leaders regularly discuss issues affecting quality of services.SB T

SLO

FSubtotal 10 36 24Agency Leadership Score 70 OR 17.5 avg.

Katie A. Readiness AssessmentSummary for Central Region

Learning Collaborative

SYSTEMS AND INTERAGENCY COLLABORATIONThis section addresses how collaborative approaches (such as teaming) are used when serving children and families.

(See pg.12 - 16 of the Core Practice Model (CPM) Guide)


1 2 3

Collaboration is supported through formal agreements, such as memorandums of understanding, joint training plans, or interagency strategic plans that articulate strategies and mechanisms for meeting the needs of children and families.

SB

SLO

T

F

Agencies have a shared approach to addressing issues related to consent and confidentiality.SB T

SLO

FAgencies provide opportunities for joint training to staff and families. SB

F

SLO

T

Agencies have an established process for reviewing, changing, and implementing policies and procedures that support family-centered practices. SB

F

TSLO

Agencies have structures and processes in place that support collaboration with other organizations that are interested in children’s issues such as, primary care, schools, libraries, local parks and recreation, or others.

SB

T

F

SLO

Agencies have co-located office space or staff. T

SB

SLO

F

Agencies have information systems that support sharing of child welfare and mental health data. T

SB

F

SLO

Processes are in place to share and receive feedback at the practice, program, and system levels in order to solve problems and enhance success.

T

SB

F

SLO

Subtotal 13 30 12Systems and Interagency Collaboration Score 55 OR 13.75 avg.

SYSTEMS CAPACITYThis section speaks to the collective strength of administrative structures, workforce capacity, staff skills & abilities, and operating resources (See pages 20 –

23of the CPM Guide)


1 2 2

Children and youth in the CW system are screened for possible mental health needs.

T

F

SB

SLO

Children and youth in the CW system who are referred to mental health receive a timely full mental health assessment. Timely is defined according to local practices. SB

F

TSLO

Policies in place support an effective referral process and linkage to services in multiple systems.SB

F

TSLO

There are effective processes and sufficient supports in place to recruit, hire, and train personnel.Factors may include timeliness to hire, expertise of human resources staff, written training materials

SB

F

SLO

T

Staff receive ongoing training, and are mentored and coached by experienced managers to ensure staff maintain high quality skills and abilities.

SB

T

F

SLO

Agencies utilize partnerships with other public agencies and community-based organizations to ensure that children and families can access a variety of services and supports in multiple settings.

SB

T

F

SLO

Agencies engage the local community through activities that may include partnering with community-based organizations and hosting public meetings or community forums.

SB

SLO

T

F

There is a sufficient child welfare workforce in place. SLO

F

SB

T

There is an adequate network of qualified mental health service providers available. SLO

SB

T

F

Administrative processes and organizational infrastructure are sufficient to meet business and procurement needs.

SB

T

F

SLO

Subtotal 12 50 9

Systems Capacity Score 71 OR 17.75 avg.

SERVICE ARRAYThis section addresses if available services are culturally responsive and include trauma informed care, evidence based practices,

promising practices, innovative practices, and culturally specific healing practices and traditions. (See pg. 16 – 18 of the CPM Guide)


1 2 3

Children and families are assessed for immediate safety, stabilization, and crisis support needs.

SB

T

F

SLO

Services are tailored to meet specific, individual needs and build on individual strengths.

SB

T

F

SLO

Services are community-based, delivered in the least restrictive environment, and in the child and family’s own language.

SB

F

SLO

T

Available services support transitions to the community, independence, and the adult system of care.

SLO

T

F

SB

Available services include the use of evidence-based practices.SB

T

FSLO

Families have access to services that focus on prevention and early intervention.

F

SB

T

SLO

Services are sufficient to meet the mental health needs of the community. SB

F

SLO

T

Where service gaps exist, alternative strategies, such as cultural healing practices or other non-traditional services and supports, are explored.

T

SB

SLO

F

Services for children and families include trauma informed care.SB

T

FSLO

Subtotal 6 42 27

Service Array Score 75 OR 18.75 avg.

CULTURAL RESPONSIVENESSThis section addresses agency ability to work effectively in cross-cultural settings. Need Developing Strength

1 2 3

The cultural identity of children and families is valued, and reflected in service planning and delivery.

F

SB

T

SLO

Diversity and language among agency staff reflects that of the community.SB

F

SLOT

Staff are respectful of cultural differences in customs and beliefs.

T

F

SB

SLO

Training is provided to staff regarding diversity and culturally competent practices.

F

SB

T

SLO

Published materials such as informational brochures and forms are translated into languages that reflect the diversity of the local community.

F

SB

T

SLO

Children and families have access to services delivered in their own language.

F

SB

SLO

T

Service plans are translated into the family’s native language and discussed to ensure understanding. F

SB

T

SLO

Agencies partner with culturally based community groups to ensure programs and services are culturally appropriate to meet the community’s needs.

F

SBSLO T

Subtotal 5 30 36

Cultural Responsiveness Score 71 OR 17.75 avg.

OUTCOMES AND EVALUATIONThis section focuses on the strength of current data collection practices and how outcomes data is used to inform

programs and practice.


1 2

3

Agencies have a defined process that includes participation of families, direct service providers, agency staff, and other key stakeholders to define, select, and measure quality indicators at the program, service, and community levels.

T

F

SB

SLO

Evaluation plans define specific goals and objectives, as well as measurable performance indicators.

T

SB

F

SLO

Evaluation plan describes how data informs quality improvement processes.SB

T

FSLO

Data collection occurs for measures of administrative, fiscal, program, service, and individual child and family outcomes.

SB

T

F

SLO

Data collection relates to process indicators, functional outcomes for children and families, satisfaction surveys from children and families, and fiscal measures. SB

F

SLOT

Subtotal 6 22 9Outcomes and Evaluations Score 37 OR 9.25 avg.

FISCAL RESOURCESThis section is focused on how fiscal policies, practices, and expertise support family-centered services.


1 2 3

Agencies have a basic understanding of what needs to be funded and what the approximate cost will be.

F

SLO

SB

T

Fiscal agreements that include commitment of funds are in place to support the needs of children, youth, and families.

T

F

SB

SLO

Agencies track expenses for the cost of mental health services for children and youth in the CW system.SLO SB

F

T

Agencies utilize multiple funding streams to support the mental health needs of children and youth in the CW system.

SB

F

T

SLO

Staff receives training on the time study process.

F

SB

T

SLO

Cross-systems training include fiscal strategies and funding requirements.

SB

F

T

SLO

Policies and procedures describe strategies to blend funds from federal, state, and local sources to maximize ability to meet the needs of children and families.

T

SBF SLO

Interagency teams and collaborative projects include fiscal expertise.

F

T

SB

SLO

Subtotal 4 38 27

Fiscal Resources Score 69 OR 17.25 avg.

KEY FOR ABOVE RATINGS IN CHARTS:Need: Item is not present at all in one or both organizationsDeveloping: Item is planned or is currently present in a low or modest level in both

organizationsStrength: Item currently has a strong presence throughout both organizations

DELIVERY PLAN THEMES

1. Use of Children’s System of Care

2. Utilize Wraparound

3. Use 24/7 crisis response team for children and their families

4. Use county work groups to work out issues related to roll out of implementation plan

5. Use MTFC and ITFC

GAPS IDENTIFIED

1. Need for ongoing MH evaluations

2. Co- location of MH and Child Welfare staff

3. Issues around group homes including availability and capacity issues

4. Out of county placements

5. Services in all geographical areas within the county

POTENTIAL TRAINING AREAS

1. Cross system training on policies/procedures, data sharing, involvement on family through continuum of planning, service, and evaluation.

2. Formal training for staff, current/former foster youth and families, care providers, contract provider agencies serving children at risk, cultural brokers, child advocates and other community stakeholders using vision, values, and practice model.

3. Trauma informed care

4. Screening tool

5. Training of staff on working more closely with family members in strength based mode.

6. Training on how to connect families with community supports.

LEARNING COLLABORATIVE CONVENING

Documents

mental health issues

year age groups

table formatting

brainstormingidentify

number of hospitalizations

estimates of population

priority areasidentify

county population projections