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SAMHSASCHILDRENS MENTAL HEALTH INITIATIVE
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What is System of Care?
System of care is, first and foremost, a
set of values and principles that
provides an organizing framework forsystems reform on behalf of families
with children and youth diagnosed
with Severe Emotional Disturbance.
Stroul, B.( 2002). Issue brief-Systems of care: A framework for system reform in childrens mental health. Washington, D.C.:
Georgetown University Child Development Center
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What is System of Care?
1. A broad, flexible array of services and supports for
children and their families
2. Organized into a coordinated network
3. Integrates service planning, service coordination andmanagement across multiple levels and systems
4. Culturally and linguistically competent
5. Builds meaningful partnerships with families and youth
at service, delivery, management, and policy levels6. Has supportive management and policy infrastructure
Pires, S. (2006). Building systems of care: A primer. Washington, D.C.: Human Service Collaborative.
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Core Values
Family Driven
Youth Guided
Community Based
Culturally and Linguistically Competent
Stroul, B., & Friedman, R. (1986). A system of care for children and youth with severe emotional disturbances(Rev. ed.) Washington, DC:
Georgetown University Child Development Center, National Technical Assistance Center for Children's Mental Health.
Reprinted by permission.
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System Change Focuses On
Policy Level(e.g., financing; regs; rates)
Management Level
(e.g., data; Quality Improvement; Human Resource
Development; system organization)
Frontline Practice Level
(e.g., assessment; services and supports planning;
service coordination; services and supports provision)
Community Level
(e.g., partnership with families, youth, natural helpers;
community buy-in)
Pires, S. (2006). Building systems of care: A primer. Washington, D.C.: Human Service Collaborative.
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Systems of Care as Systems Reform
FROM
Fragmented service delivery
Categorical programs/funding
Limited services
Reactive, crisis-oriented
Focus on out-of-home placements
Children out-of-home
Centralized authority
Creation of dependency
TO
Coordinated service delivery
Blended resources
Comprehensive services/supports array
Focus on prevention/early intervention
Individualized services & supports in least
restrictive, normalized environments
Children within families
Community-based ownership
Creation of self-help
Pires, S. (2002). Building systems of care: A primer. Washington, D.C.: Human Service Collaborative.
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SAMSHA Requirements
6 years with first year dedicated to planning and preparation
Implement a collaborative governance structure
Develop integrated systems to serve children and their families
Families and youth must be involved in not only decisions of theirown families (service planning), but in the goals and strategies of
the broader system development (governance)
Individualized care planning (Wraparound)
Required service array
Cultural competence and inclusion
Participation in evaluation
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Saginaw SOC Identified Population
Children and youth, ages 6 to 17
with serious emotional disturbances
who are involved in the child welfare, specialeducation, and/or juvenile justice systems
and are at risk for out-of-home placement,
psychiatric hospitalization, expulsion from school, or
court involvement
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System of Care Focus
80%
15%
SED
Most Intensive
intervention
level
Prevention and
Universal HealthPromotion
Level
TargetedIntervention
Level
2%
3%
Less complex
needs
More
complex
needs
Targeted and
Individualized
Services
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Vision
Our vision is to maximize the potential of
children, youth, and their families for full
involvement and inclusion in their community.
All children, adults and families in SaginawCounty will be self-sufficient in keeping
themselves, their children, and their families
safe, healthy, at home, and productive.
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How Will We Achieve Our Vision?
1. Expanding capacity to serve children and youth with seriousemotional or behavioral challenges (often labeled SED) andtheir families and fill in gaps in services and supports;
2. Providing a broad array of services and supports that are
evidence-based and culturally competent in Saginaw County;
3. Creating a structure that promotes individualized serviceplanning through a Wraparound process; and
4. Promoting the full participation of youth and families in the
planning, development, implementation, and evaluation oflocal services and supports.
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Whats Next?
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Coordinating Council
(Executive Gov. Comm. / Leaders Group)
Community Leaders, Lead Family,
Family Member, Youth, Policy Makers,
Lead Evaluator
Youth
Development
Team
Family Development
Team
Implementation
& Care Review
Team
Cultural &
Linguistic
Competence
Full PartnershipMonthly/Bi-monthly meetings
to support broad ownership
across the Saginaw
communities
AdministrativeTeamEvaluationAdvisory Team Social MarketingTeam
The Coordinating Council adopted this structure on January 26, 2011 with the understanding that they may revise it as needed.
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Implementation of Strategic Plan
Created, through a cooperative effort with our
community partners, a comprehensive Strategic Plan
for system change and implementation.
Includes goals, action steps and timeliness for
completion.
Are already rolling out implementation efforts at the
initial level.
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Questions?
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Contact Information
Wardene Talley
Project Director
989-797-3562
Dalia Smith
Cultural and Linguistics
Competency Coordinator
989-498-2270
Keva Clark
Lead Family Representative
989-797-3534
Willie Hillman
Youth Involvement Director
989-272-7232
Melissa Lee
Social Marketing Coordinator
989-272-7209
Kelley Blanck
TA Coordinator
989-797-3556
mailto:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]:[email protected]
