Mary Jo Meyers [email protected] WrapCT Presents: Building a System of Care Utilizing the...

Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com

WrapCT Presents:

Building a

System of Care

Utilizing the

Wraparound Process


Three Levels of Three Levels of Change NeededChange Needed

Prac

tice Program

System


If you only work on If you only work on practice and fail to practice and fail to

work on system and work on system and program you get...program you get...


Turbo Care ManagementTurbo Care Management


If you only work on If you only work on program and fail to program and fail to

change practice and change practice and system you get…...system you get…...


Hardening of the CategoriesHardening of the Categories

Agency / Program IsolationAgency / Program Isolation Repackaged Categorical ServicesRepackaged Categorical Services Lack of Community Buy-InLack of Community Buy-In Lack of Cross System InvolvementLack of Cross System Involvement


If you only work on If you only work on system and fail to system and fail to

change program and change program and practice you get…...practice you get…...


The Amazing Exploding TriangleThe Amazing Exploding Triangle

Unstable base of care Unstable base of care Mid-level services in chaosMid-level services in chaos Client’s experience Client’s experience

random access to servicesrandom access to services Loss of mission, vision and Loss of mission, vision and

valuevalue Top down without bottom Top down without bottom

up up


System Of CareSystem Of Care

Incorporates a broad array of services Incorporates a broad array of services and supports organized into a and supports organized into a coordinated networkcoordinated network

Integrates care planning and Integrates care planning and management across multiple levelsmanagement across multiple levels

Is culturally and linguistically Is culturally and linguistically competentcompetent

Builds meaningful partnerships with Builds meaningful partnerships with families and youth at service delivery families and youth at service delivery andand policy levels policy levels Building Systems of Care: A Primer

Sheila A. Pires, Spring 2002


System of Care System of Care Guiding PrinciplesGuiding Principles

Comprehensive, incorporating a broad Comprehensive, incorporating a broad array of services and supportsarray of services and supports

IndividualizedIndividualized Provided in the least restrictive, Provided in the least restrictive,

appropriate settingappropriate setting Coordinated both at the system and Coordinated both at the system and

service delivery levelsservice delivery levels Involve families and youth as full Involve families and youth as full

partnerspartners Emphasize early identification and Emphasize early identification and

interventionintervention


. . . a process and an approach.

not a not a programprogram

or or a servicea service

not a not a programprogram

or or a servicea service

Wraparound Wraparound ISIS . . . . . .


Categorical ApproachCategorical Approach

Assess ProblemsAssess Problems

Look at Services that are Look at Services that are Available…Available…

Plug Services into the FamilyPlug Services into the Family


Examples of a Categorical Examples of a Categorical ApproachApproach

Services reflect what’s available Services reflect what’s available and has been tried rather than and has been tried rather than what’s really neededwhat’s really needed


CommunityBased

Strengths

TechnologyCluster

TechnologyCluster

UnconditionalCare

Normalization

CulturalCompetency

Collaboration

NeedsDriven

Refinancing

Family Centered

SystemIntegration

Wraparound: A Cluster of Wraparound: A Cluster of Technologies Tied to Core ValuesTechnologies Tied to Core Values


Steps for Developing an Steps for Developing an Individualized PlanIndividualized Plan

Step 1:Step 1: Getting to Know the FamilyGetting to Know the Family Step 2:Step 2: Start Meeting with StrengthsStart Meeting with Strengths Step 3:Step 3: Family Identifies VisionFamily Identifies Vision Step 4:Step 4: Team Identifies NeedsTeam Identifies Needs Step 5:Step 5: Prioritize NeedsPrioritize Needs Step 6:Step 6: Action PlanningAction Planning Step 7:Step 7: CommitmentsCommitments Step 8:Step 8: EvaluationEvaluation Step 9:Step 9: DocumentationDocumentation Step 10:Step 10: Crisis PlanningCrisis Planning


Social/Fun Mental Health Family A Place to

Live School/Work Cultural

Spiritual Safety Legal Medical/Health Finances Relationships Other

Life Domain Areas for Life Domain Areas for PlanningPlanning


Challenges to Best PracticeChallenges to Best Practice

Encouraging & sustaining creativity in Encouraging & sustaining creativity in staff generated solutionsstaff generated solutions

Integrating Wraparound values with Integrating Wraparound values with mandatesmandates

Evaluating current program practices Evaluating current program practices against the values baseagainst the values base

Giving up own turf in order to meet Giving up own turf in order to meet needs of familiesneeds of families

Ensuring line staff have skills which Ensuring line staff have skills which match values basematch values base

All staff committed to Value BaseAll staff committed to Value Base


Issues of Fidelity to the ModelIssues of Fidelity to the Model

Current Service Driven PracticeCurrent Service Driven Practice Standard QA/QI MeasuresStandard QA/QI Measures Local Community Buy InLocal Community Buy In Partnership Challenges and Partnership Challenges and

FragmentationFragmentation Leadership and Lack of Leadership and Lack of

Commitment to True ChangeCommitment to True Change


Committing to ChangeCommitting to Change

Assure consumer access to care Assure consumer access to care that isthat is• based on family choicebased on family choice• strength basedstrength based• culturally sensitiveculturally sensitive• enhances the quality of daily livingenhances the quality of daily living• provides families the right thing at the provides families the right thing at the

right time in the right wayright time in the right way


““Vision is the abilityVision is the ability

to see beyond to see beyond

the majority.”the majority.”

Charles R. SwindelCharles R. Swindel

““Vision is the abilityVision is the ability

to see beyond to see beyond

the majority.”the majority.”

Charles R. SwindelCharles R. Swindel


For more information contact:

For WrapCT-Tim Marshall 860 550 6531 For Training, content and materials-Mary Jo Meyers, MS., 414 257 7521

[email protected]

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