Systems of Care Work for Child Welfare. Overview This customizable PowerPoint presentation was designed for use by States, communities, territories, and.

Systems of Care Work

for Child Welfare

Overview• This customizable PowerPoint presentation was designed for use by States,

communities, territories, and Tribal nations to introduce themselves and the concept of Systems of Care to child-, youth-, and family-serving partners.

• This presentation is copyright-free; users can alter this presentation in any way, including, but not limited to: information and data, design, slide order, and sample script.

• Information about how to use the PowerPoint program can be found at www.office.microsoft.com.

About This Presentation• This customizable PowerPoint presentation was developed for federally-funded

States, communities, territories, and Tribal nations by the Caring for Every Child’s Mental Health Campaign of the Center for Mental Health Services within the Substance Abuse and Mental Health Services Administration of the U.S. Department of Health and Human Services.

• Content was developed in partnership with local Systems of Care, Systems of Care partners, the Technical Assistance Partnership, and the National Evaluation Team. These individuals contributed information, substantive review, and feedback.

• Questions about this PowerPoint presentation should be directed to your communications technical assistance provider.

Using Data• The data in this presentation are from a variety of sources.

Citations have been provided in the notes section. To include the citation in the slide, cut and paste it from the notes section.

• Users are encouraged to update or modify the data as appropriate and necessary. The Campaign highly recommends using data from credible sources and having citations available to members of the audience.

Inserting Local Information• This presentation can be enhanced substantially by including local

data and a case study from your community. Conduct your presentations with and about the youth and families in your communities whenever possible. Their stories are the best way to illustrate the benefits of your System of Care to decision-makers, opinion leaders, and potential partners.

• Template slides have been included to help you add local data, personal stories and other information. If local information is not available, these slides can be deleted.

Using the Sample Script• A sample script has been included in the notes

section to help users understand how the slides work together and to provide a basis for a presentation.

• The sample script is only a suggestion; users are encouraged to modify it to meet their needs or to develop their own script.

Modifying the Design• The slides have been designed so they are consistent

with the Campaign’s look and feel. Here are some of the ways you can customize the design:

– Symbols can be added to the upper right-hand corner of

some slides.– Citations can be included at the bottom of most slides.– The name of the presentation can be changed on each slide.

Logo Guidelines• SAMHSA has rules regarding the use of its Wordmark, logos,

and other identifying marks. Generally speaking, users are encouraged to use their own logos and identifying marks, as they are not officially representing the Campaign, the Center for Mental Health Services, or SAMHSA.

• For more information on whether or not a SAMHSA, CMHS, or Campaign logo can be used in your presentation, please contact your Campaign technical assistance provider.

PRESENTED BY:

[Your Name and Title][Your System of Care Community’s Name]

[Your Contact Information]

[Your LOGO]

Systems of Care Work

for Child Welfare

Systems of Care and Child Welfare Professionals Share Common

Goals• Place children and youth are in safe and

stable homes• Ensure families are able to meet their

children’s needs• Reunify and preserve families

Meeting the mental health needs of children, youth, and families is critical to achieving these goals.

Systems of Care Work for Child Welfare

[Your LOGO]

Facts About Children’s Mental Health

• 5 to 9% of all U.S. children and youth have serious mental health needs, reducing their ability to function in the community, at school, and at home.

• More than four out of five children in foster care have developmental, emotional, or behavioral problems.

Source: President’s New Freedom Commission on Mental Health. (2003). Final Report. Retrieved from http://govinfo.library.unt.edu/mentalhealthcommission/reports/FinalReport/downloads/FinalReport.pdf

Facts About Children’s Mental Health

• More than one-third of those 12 or older who experience a major depressive episode do not receive treatment.

• Some families have undiagnosed mental health and substance abuse disorders.

Source: Child Welfare League of America. Child Mental Health: Facts and Figures. Retrieved from www.cwla.org/programs/bhd/mhfacts.htm.

What Works for Children and Youth?

• Children, youth, and families enter the child welfare system with varied needs and can benefit from cross-agency collaboration.

• When children and youth with serious mental health needs receive coordinated services, their functioning substantially improves at school, at home, and in their community.

Source: Burns, B. J., Phillips, S. D., Wagner, H. R., Barth, R. P., Kolko, D. J., Campbell, Y., & Landsverk, J. (2004). Mental health need and access to mental health services by youths involved with child welfare: A national survey. [And Commentary, J. S. Lyons & L. Rogers, The U.S. child welfare system: A de facto public behavioral health care system]. Journal of the American Academy of Child and Adolescent Psychiatry 43(8), 960-973.

Systems of CareHelping children and youth with serious mental health

needs and their families

Systems of Care Work for Child Welfare

[Your LOGO]

• Child welfare• Education• Mental health and substance

abuse professionals• Families

• Juvenile justice• Primary health care• Faith-based organizations• Other community

organizations

A System of Care Is…A Community and Statewide Partnership

among families, youth, schools, and public and private organizations to provide coordinated

mental health services. Partners may include:

A System of Care Is…Guided by Core Values

• Family driven and youth guided:– Strengths and needs of the child and family determine the types and mix of

services and supports provided.

• Culturally and linguistically competent:– Agencies, programs, and services reflect the cultural, racial, ethnic, and

linguistic differences of the populations they serve to facilitate access to and utilization of appropriate services and supports and to eliminate disparities in care.

• Community based:– Locus of services as well as system management rest within a supportive,

adaptive infrastructure of structures, processes, and relationships at the community level.

A System of Care Is…Part of a National Initiative

• Established by Congress in 1992• More than 170 System of Care communities• Funded through cooperative agreements with States,

communities, territories, and Tribal nations• Administered by the Center for Mental Health

Services, SAMHSA, U.S. Department of Health and Human Services

A System of Care Is…Federally-Evaluated

• Measures progress of children, youth, and families in Systems of Care

• Informs decision makers and the decision-making process

• Ensures accountability at the Federal and community levels

A System of Care Is…Comprehensive

Because it is a coordinated network of community-based services and support that are organized to meet the challenges of children and youth with serious mental health needs and their families.

Systems of Care Work for Child Welfare

[Your LOGO]

How Do Child Welfare Agencies Benefit from

Systems of Care?

How Do Child Welfare Agencies Benefit from Systems of Care?

• Homes are stable.

• Families are stronger and feel supported.

• Families have more resources within their communities.

• Positive youth outcomes

Benefit: Homes Are Stable

Sources: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services. (in press). The Comprehensive Community Mental Health Services for Children and Their Families Program: Evaluation findings—Report to Congress, 2006–2008. Washington, DC.

• The percentage of children and youth who lived in multiple settings decreased by 12% after 12 months of services

Sources: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services. (in press). The Comprehensive Community Mental Health Services for Children and Their Families Program: Evaluation findings—Report to Congress, 2009. Washington, DC.

• Caregiver strain is reduced in many families.

• Approximately 93% of caregivers reported improvement or stability in family functioning after 12 months of services.

Benefit: Families Are Stronger

Sources: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services. (in press). The Comprehensive Community Mental Health Services for Children and Their Families Program: Evaluation findings—Report to Congress, 2009. Washington, DC.

Benefit: Families Have More Resources• Families showed improvement in the availability of

time after receiving services within Systems of Care.

• Unemployment of families and other caregivers decreased after receiving services within Systems of Care.

Source: U.S. Department of Health and Human Services (under review). Evaluation Brief, Systems of Care: Do Supportive Adults and Peers Influence Youth? October, 2008.

Benefit: Positive Youth Outcomes• Youth who felt the presence of supportive

adults were better off than those without.

– Significantly lower levels of depression.– Supportive adults lead to better emotional and

behavioral health among youth.– A greater sense of competence in school.

Source: U.S. Department of Health and Human Services (2011). Helping Children and Youth Who Have Experienced Traumatic Events. Washington, DC.

Benefit: Positive Youth Outcomes• Children and youth who have experienced potentially

traumatic events show improved outcomes.

– By 6 months:• Many already show significant improvement in behavioral and

emotional symptoms.

• Thoughts of suicide have been reduced by 32% among these individuals.

Who We Are

Who We Serve

Our Partners

Our Outcomes

Systems of Care Work for Child Welfare

[Your LOGO]

[Insert Name of Child Or Youth]’s Story

A Local Case Study in Success

Systems of Care and Child Welfare: A Case Study in Success

County of Glenn, CA

County of Glenn, CAProgram Description

• Approximately 80–90 children and youth enrolled in the System of Care in any given month

• 24 percent are referred to the System of Care through child welfare

Outcomes of the System of Care Partnership in County of Glenn, CA

• Coordinated services for children, youth, and families

• Decreased out-of-home placements

• Decreased costs

Outcome: Coordinated Services• Child welfare and mental health professionals work closely

together.

• Mental health services are introduced in homes by System of Care representatives and child welfare professionals.

• Other child and family services are more accessible.

Outcome: Decreased Out-of-Home Placements• Early mental health intervention helps

children, youth, and families stay together.• Early mental health intervention reduces the

length of time for out-of-home placement.

Outcome: Decreased Costs

• Out-of-home placements cost $2,000 to $20,000 per month per child.

• Early mental health services can bring a child home earlier, reducing overall costs.

What Our Partnership Could Accomplish

• Coordinated, community-based services that support families in need

• Collaborative, individualized plans of action for families in the community

• A community support structure that is accessible and family-focused

For more information, contact:

[Your Name and Title][Your System of Care Community’s Name]

[Your Contact Information]

How Can We Work Together To Support Children’s Mental Health Needs?