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Service Coordination:Service Coordination:A Recipe for SuccessA Recipe for Success

Shared philosophy among Shared philosophy among providersproviders

Collaborative policy and funding Collaborative policy and funding infrastructureinfrastructure

Unique services and supportsUnique services and supports

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History of Service History of Service Coordination: Coordination: 1980’s – Celeste 1980’s – Celeste

AdministrationAdministration ClustersClusters – county level cross system – county level cross system

clinical/treatment teams.clinical/treatment teams. Participants were Participants were clinical levelclinical level cross system cross system

personnel.personnel. Parents and children often not involved in Parents and children often not involved in

plan development.plan development. Focus on Focus on problems/concernsproblems/concerns.. Creation of Creation of state cluster fundstate cluster fund & application & application

process.process.

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History of Service History of Service Coordination: Coordination: 1990’s – 1990’s – Voinovich AdministrationVoinovich Administration

Family and Children First Councils createdFamily and Children First Councils created and responsible for service coordination and responsible for service coordination mechanism.mechanism.

Cross system approachCross system approach Mandates included needs assessment of Mandates included needs assessment of

child, development of individual family plan, child, development of individual family plan, and dispute resolution process.and dispute resolution process.

State Inter-systems fund State Inter-systems fund application application simplifiedsimplified..

SC requiredSC required to access funds. to access funds.

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History of Service History of Service Coordination: 2000’s - Taft Coordination: 2000’s - Taft

AdministrationAdministration Methods to Methods to divert children from juvenile divert children from juvenile

courtcourt and address at-risk unruly and and address at-risk unruly and adjudicated unruly youth.adjudicated unruly youth.

Family accessFamily access to referral and dispute to referral and dispute resolution processesresolution processes

Strengths basedStrengths based assessment of family assessment of family Required Family Team meetings with Required Family Team meetings with

specific timelines when there are specific timelines when there are emergency emergency or planned out-of-home placements.or planned out-of-home placements.

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History of Service History of Service Coordination: 2000’s - Taft Coordination: 2000’s - Taft

AdministrationAdministration

Shifted from child focus to Shifted from child focus to family focusfamily focus.. Strong emphasis on Strong emphasis on family engagementfamily engagement

and and empowermentempowerment.. Required access to Required access to Family AdvocatesFamily Advocates or or

support person(s).support person(s). Alignment of SC with many high fidelity Alignment of SC with many high fidelity

WrapAround principlesWrapAround principles..

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History of Service History of Service Coordination: 2000’s - Taft Coordination: 2000’s - Taft

AdministrationAdministration

State inter-systems fund was State inter-systems fund was discontinueddiscontinued and redistributed as an and redistributed as an allocation to each mental health and allocation to each mental health and recovery services board (404 dollars).recovery services board (404 dollars).

Access to Better Care 404 dollarsAccess to Better Care 404 dollars allocated based on population.allocated based on population.

$5,681 non-behavioral health funds $5,681 non-behavioral health funds allocated equally to each county FCFC.allocated equally to each county FCFC.

History of Service Coordination:

Mid 2000’s - Strickland Administration

Access to Better Care Initiative Access to Better Care Initiative endedended

Family And Systems Together Family And Systems Together (FAST) changed to (FAST) changed to Family-Family-Centered Services & Supports Centered Services & Supports (FCSS) (FCSS) with a direct connection with a direct connection with FCFC Service Coordinationwith FCFC Service Coordination

FCFC receive FCSS funding FCFC receive FCSS funding for for families with children with families with children with multiple needs in service multiple needs in service coordination and can be used to coordination and can be used to support non-clinical needssupport non-clinical needs

History of Service Coordination:

2010’s - Kasich Administration FCFC continue to receive FCSS FCFC continue to receive FCSS

funding funding for families with for families with children with multiple needs that children with multiple needs that are involved in FCFC service are involved in FCFC service coordinationcoordination

FCSS funding can be used to FCSS funding can be used to support non-clinical needs of support non-clinical needs of children and their families children and their families

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Service Coordination Service Coordination MechanismMechanism

ORC 121.37 (C) ORC 121.37 (C)What’s in the law?What’s in the law? Each county shall develop Each county shall develop

a county service a county service coordination mechanism. coordination mechanism. The county service The county service coordination mechanism coordination mechanism shall serve as the shall serve as the guiding document for guiding document for coordination of services coordination of services in the county. in the county.

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Service Coordination Service Coordination MechanismMechanism

The overarching requirements for coordinating The overarching requirements for coordinating services for multi-need children in a county:services for multi-need children in a county:Referral Referral Confidentiality Confidentiality Parent Participation Parent Participation Assessment of Strengths and NeedsAssessment of Strengths and NeedsCulturally ResponsiveCulturally ResponsiveLeast Restrictive Environment Least Restrictive Environment Dispute ResolutionDispute ResolutionComprehensive Family Service Coordination Plan Comprehensive Family Service Coordination Plan ProcessProcessJuvenile Court DiversionJuvenile Court DiversionMonitoring and Tracking OutcomesMonitoring and Tracking Outcomes

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Comprehensive Family Service Comprehensive Family Service Plan:Plan:

An Individual Family PlanAn Individual Family PlanRequirements for developing and implementing:Requirements for developing and implementing: Notification of and Invitation to CFSP Notification of and Invitation to CFSP

MeetingsMeetings Pre-Out of Home Placement Team MeetingPre-Out of Home Placement Team Meeting

Family RightsFamily Rights ConfidentialityConfidentiality Participate in Meetings and DecisionsParticipate in Meetings and Decisions Invite Informal Supports / Family AdvocateInvite Informal Supports / Family Advocate Approve Team Leader AssignmentApprove Team Leader Assignment Initiate MeetingsInitiate Meetings Dispute ResolutionDispute Resolution

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Comprehensive Family Service Comprehensive Family Service Plan: Plan:

An Individual Family PlanAn Individual Family PlanIN THE PLANIN THE PLAN Goals and ServicesGoals and Services Designation of Service Designation of Service

ResponsibilitiesResponsibilities Timelines for GoalsTimelines for Goals Crisis and Safety PlanCrisis and Safety Plan Regular ReviewsRegular Reviews

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Service Coordination Service Coordination Process:Process:

1. Referral from family member, agency, or provider.1. Referral from family member, agency, or provider. 2. Determine level of need. 2. Determine level of need. 3. Explain SC & family rights & sign necessary 3. Explain SC & family rights & sign necessary

documentsdocuments 4. Complete Strengths & Needs Assessment & Culture 4. Complete Strengths & Needs Assessment & Culture

DiscoveryDiscovery 5. Determine Family Team/Offer Family Advocate5. Determine Family Team/Offer Family Advocate 6. Develop Family Plan including Crisis and Safety Plan6. Develop Family Plan including Crisis and Safety Plan 7. Implement Plan7. Implement Plan 8. Regular follow up team meetings held to monitor 8. Regular follow up team meetings held to monitor progressprogress 9. Final team meeting to address transition issues & 9. Final team meeting to address transition issues & celebrate success.celebrate success.

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The Many Names of Service The Many Names of Service Coordination Coordination

Service Coordination Service Coordination

Family Support Teams Family Support Teams Wrap Around /Hi-Fi Wrap Around /Hi-Fi

WraparoundWraparound Cluster Cluster ICAT (Inter-systems ICAT (Inter-systems

Community Community Assessment Team) Assessment Team)

ICAT (Inter-agency ICAT (Inter-agency Clinical Assessment Clinical Assessment Team) Team)

FAmily Stabilty Team (FAST)

Community Wraparound

Child and Family Team Intersystem Diversion

Team (IDT) Kids in Different

Systems (KIDS) Diversion Assessment

Team (DAT) Coordinated Care

Program

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Service Coordination Service Coordination Data from the FCSS Data from the FCSS

Initiative Initiative Category of Service/Support Need

SFY 10:# of Children Presenting with Need at Intake

SFY 10: % of Children with Need

SFY 11: # of Children Presenting with Need at Intake

SFY 11:% of Children with Need

SFY12:# of ChildrenPresenting with Need at Intake

SFY12:% of Children with Need

Mental Health 3285 62% 3264 54.7% 3582 62.8%Poverty 1981 37.3% 2685 45% 2264 39.7%Special Education

2003 37.7% 2021 33.9% 2017 35.4%

Developmental Disability

1166 22% 1278 21.4% 1151 20.2%

Unruly 1017 19% 1109 18.6% 1124 19.7%Delinquent 868 16% 757 12.7% 699 12.3%Child Neglect 580 11% 745 12.5% 633 11.1%Child Abuse 453 8.5% 537 9% 534 9.4%Physical Health

443 8.3% 464 7.8% 545 9.6%

Alcohol/Drug 484 9% 488 8.1% 413 7.2%HMG N/A N/A 480 8% 267 4.7%             Total Needs 12,280   13,827

   13,229  

The table below shows the number of needs children had when they were referred to FCFC for service coordinationand were eventually served with FCSS funding in SFY 12 compared to the needs in SFY 10 &11:

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Service Coordination Data Service Coordination Data from the FCSS Initiative from the FCSS Initiative

Type of Service/Support Provided

SFY 10:# and (%) of Children Receiving Service/Support 

SFY 10:% of Total Services and Supports Provided

SFY 11:# and (%) of Children Receiving Service/Support   

SFY 11:% of Total Services and Supports Provided

SFY12:# and (%) of Children Receiving Service/Support 

SFY 12:% of Total Services and Supports Provided

Service Coordination 4029 / (76%) 29.4% 3498 / (58.6%) 

24.1% 2129 / (37.3%) 22.6%

Respite 1795 / (34%) 13.1% 2053 / (34.4%) 14.1% 1790 / (31.4%) 19%Transportation 1165 / (22%) 8.5% 1366 / (22.9%) 9.4% 1657 / (29.2%) 17.6%Social/ Recreational Supports

1792 / (34%) 13.1% 1304 / (21.9%) 9% 1455 / (24.4%) 15.5%

Non-Clinical In-Home Visits

1788 / (33.7%) 13% 2178 / (36.5%) 15% 494 / (8.9%) 5.2%

Mentoring     1102 / (18.5%) 7.6% 448 / (8.1%) 4.8%Structured Activities to Improve Family Functioning

1272 / (24%) 9.3% 888 / (14.9%) 6.1% 443 / (8%) 4.7%

Parent Education 964 / (18%)Parent Ed. + Mentoring

7% 901 / (15.1%) 6.2% 

404 / (7%) 4.3%

Parent Advocacy 564 /(10.6%) 3.2% 298 / (5%) 2.1% 279 / (5%) 3%Safety and Adaptive Equipment

180 / (3.4%) 1.3% 158 / (2.7%) 1.1% 212/ (3.7%) 2.3%

Other 204 / (3.8%) 1.5% 465 / (7.8%) 3.2% 106 / (1.9%) 1.1%Non-Clinical Parent Support Groups

84 / (1.6%) 0.6% 306 / (5.1%) 2.1% 62 / (1.1%) .7%

 Total

 13,837

 

 100%

 14,517

 100%

 9,417

 100%

The below table shows the type of services and supports families received through the FCSS Initiative in SFY 10, 11 & 12:

Service Coordination Data Service Coordination Data from the FCSS Initiative from the FCSS Initiative

One of the primary purposes for the One of the primary purposes for the FCSS Initiative is to prevent out-of-FCSS Initiative is to prevent out-of-home placements by wrapping the home placements by wrapping the needed non-clinical services and needed non-clinical services and

supports around a family.supports around a family.95.7% of children served

with FCSS funds remained in their own homes in SFY

12.

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Questions?Questions?