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Impact System of Care's 2011 Annual Report.
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Impact is INGHAM COUNTY’S SYSTEM OF CARE, a partnership of child- and family-serving agencies working in cooperation to provide coordinated services for children with Serious Emotional Disturbance (SED) and their families.
The main goal of Impact is to BUILD AND ENHANCE HOME- AND COMMUNITY-BASED SERVICES FOR YOUNG PEOPLE WITH SED, who are at risk of out-of-home placement, and their families.
2012 CALENDAR
www.impactsystemofcare.org
January 2011 Shining Star WinnerMICHELLE SANCHEZClient Service Facilitator Wraparound
I am social and love meeting new
people. My self-esteem is at a normal level. I appreciate my differences and have many friends. I can’t imagine myself without them. I attend school and rarely miss a day. I’m graduating in a few weeks, and life is headed in a better direction.
SINTENESHA, IMPACT YOUTH
36 MONTHS
36 MONTHS
70%
69%
30 MONTHS
30 MONTHS
66%
58%
24 MONTHS
24 MONTHS
80%
57%
18 MONTHS
18 MONTHS
84%
60%
12 MONTHS
12 MONTHS
75%
63%
6 MONTHS
6 MONTHS
65%
52%
Impact youth showcase their youth voice, leadership and advocacy through the Speak Your Mind youth group, Speak Up Speak Out speakers’ bureau and representation on the Impact Stakeholders Group and Impact workgroups.
“My child is better at handling daily life as a result of Impact Services.”
“ I’m better at handling daily life as a result of Impact Services.”
LADDER OF YOUNG PEOPLE’S PARTICIPATION
MAXIMUM YOUTH PARTICIPATION
MINIMUM YOUTH PARTICIPATION
9. Youth Initiated and Directed
8. Youth Initiated, Shared Decisions with Adults
7. Youth and Adult Initiated and Directed
6. Adult Initiated, Shared Decisions with Youth
5. Consulted and Informed
4. Assigned and Informed
3. Tokenism
2. Decoration
1. Manipulation The “Ladder of Young People’s Participation” was adapted from “Hart’s Ladder” from “Youth Participation in Community Planning,” a report of the American Planning Association Innovation Center for Community Youth Development. www.theinnovationcenter.org
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Martin Luther King Jr. Day
New Year’s D ay
JANUARY 2012Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Better at handling daily life
February 2011 Shining Star WinnerAKIA BURNETTFoster Care Worker Ingham County Department of Human Services
I am not smoking, drinking, fighting or committing crimes. I have gone back to school
and I’m graduating this year. I am proud to announce that my life is completely switched around from the way it used to be.
THOMAS, IMPACT YOUTH
OUTCOME 1
Impact System of Care has allowed Community Mental Health to expand the
number of at-risk youth that we serve in Ingham County; become more aware
of what our partners – including the Department of Human Services, Ingham
County Circuit Court Family Division, schools, the community – need, and
integrate that into services; and to better uphold our core values of being family-
driven and youth-guided.
The family-serving agencies that make up Impact all have the same goals, but
our views are very different. So it is not always
easy to uphold all of the system of care values,
but there has been a real commitment to it as
a result of the system of care initiative. While
we will not be able to make all of the Impact
efforts that were federally funded for the past
six years sustainable, direct service to youth
and their families will continue. Our core values
have been integrated into service delivery.
The CAFAS data shows that youth in Impact are
far better off than they were before.
We address core family dynamics, family support
and community support.
ROBERT SHEEHAN, Executive Director of Community Mental Health Clinton-Eaton-Ingham
Child and Adolescent Functional Assessment Scale (CAFAS). The eight domains that CAFAS measures are SCHOOL, HOME, COMMUNITY, BEHAVIOR TOWARD OTHERS, MOODS/EMOTIONS, SELF-HARMFUL BEHAVIOR, SUBSTANCE USE and THINKING.
Scores range from 0 to 240, with scores of 50 and above indicating SED. Youth with scores of 80 and above meet the criteria for Impact services, meaning they have Serious Emotional Disturbance (SED) with a risk of out-of-home placement.
CAFAS Scores, 2007–2011October 2007–
September 2008
October 2008– September 2009
October 2009– September 2010
October 2010– September 2011
Proportion of youth improved
Proportion not SED at exit
75%
31%
83%
32%
78%
29%
71%
N/A
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Valentine’s Day
Presidents Day
Groundhog Day
Chinese New Year
FEBRUARY 2012Sunday Monday Tuesday Wednesday Thursday Friday Saturday
IMPACT VALUES FAMILY-DRIVEN. YOUTH-GUIDED. ACCESSIBLE & HIGH-QUALITY SERVICES. CULTURALLY & LINGUISTICALLY COMPETENT SERVICES. INDIVIDUALIZED CARE. COORDINATED CARE. COLLABORATIVE CARE.
We have discovered that through our system of care we could do more, and get
better outcomes, than any of us could on our own. After a few years of working
together, we saw a significant reduction in residential placements. There were
many fewer children being removed from their families and placed in foster
care. Many more families in Ingham County have been connected with needed
services to support their families. We have expanded
services, adding community-based respite and therapeutic
foster care.
We’ve had success in partnering with state agencies to
maximize and expand funding, which has allowed us to
serve more families than we could have otherwise. We
have demonstrated strong outcomes.
We have a great county, with committed leadership
and dedicated frontline staff committed to continually
challenging ourselves to improve the outcomes for our
youth and families.
MATT WOJACK, System of Care Project Director
You help me see that not everything is bad.
KAYLYN, IMPACT YOUTH
Increased community knowledge of the system of care and decreased stigma
OUTCOME 6
March 2011 Shining Star WinnerANGELA (DAVIS) JENKINSFoster Care Worker / MYOI Coordinator Ingham County Department of Human Services
MARCH 2012Sunday Monday Tuesday Wednesday Thursday Friday Saturday
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St. Patrick’s DayDaylight Saving Time Begins
Reduced need for out-of-home placements
Efficient use of resources
April 2011 Shining Star WinnerTRACY HUFNAGELScheduling Clerk Ingham County Circuit Court – Family Division
I am doing really well. I have my own apartment, and I have my GED. I have learned that no
matter what happens to you in the past, you can always make it better.
AMBER, IMPACT YOUTH
OUTCOME 2
OUTCOME 3
One of the benefits of Impact is that we work with the family and siblings of any referred youth with Serious Emotional Disturbance (SED). Working with entire families helps reduce the number of youth removed from their homes to foster care, which is a huge benefit to the youth, the family and taxpayers. Impact and other resources combined have saved the Ingham County Child Care Fund $1.1 million. With six years of federal grant support, we have built up capacity to sustain services to youth with the most severe mental health challenges. Partners have cooperated and have open mindedness. There remain differences between the partners, including mindsets on the time it takes to reach positive outcomes, but ongoing communication is the key to making the system of care successful.
RANDY RAUCH, Director Ingham County Department of Human Services
Ingham County averages 540 youths in foster care. IMPACT HAS HELPED THE INGHAM COUNTY CHILD CARE FUND SAVE $1.1 MILLION by reducing the number of youth in foster care.
Any child can have these signs for a short time, but over a longer time such signs can indicate a mental health concern like SED. Impact can help determine if your child has an SED.
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Easter
April Fool’s Day
Earth Day
Tax Day
APRIL 2012Sunday Monday Tuesday Wednesday Thursday Friday Saturday
IMPACT PARENT SUPPORT PARTNERS are parents of children who experience emotional, behavioral or mental health challenges. Advocates partner with families to support, educate and empower them to use their voice, develop positive relationships with service providers, and develop skills to navigate the systems with which the youth and family are involved. Parent support partners are provided by ACMH, Michigan’s statewide family organization.
Increased participation of families and youth
May 2011 Shining Star WinnerMARY STEWART-THORNTONProtective Services Worker Ingham County Department of Human Services
I get my homework done, and I’m on time to class. My mom and sister make sure of that.
I enjoy writing in class. I am doing better in school, and getting caught up on my grades. I will graduate next year, and I have two jobs.
SCOTT, IMPACT YOUTH
OUTCOME 3
Impact System of Care has increased the ability for community agencies to work
more collaboratively on behalf of youth and their families. That has resulted in
better service delivery and more individualized family-centered services. It has
provided an opportunity for the Association for Children’s Mental Health (ACMH)
to increase the amount of parent-to-parent support service as well as increased
our ability to partner with parents.
Going into the next year, we anticipate continuing Parent Support Partners
service delivery, primarily through Child Welfare. We will continue to support
caregivers with one-to-one service.
Impact was successful in increasing the
family and youth voice in the services.
There were mechanisms put in place that
provided more opportunities for them to
weigh in on family support structures. We
will have to see how that looks in the future.
MALISA PEARSON, ACMH Executive Director
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Mother’s Day
Memorial Day
Cinco de Mayo
MAY 2012Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Being part of Impact System of Care gives the Lansing Police
Department opportunities to better understand SED and establish
relationships with Impact youth in noncrisis situations. Working
with youth and caregiver groups helps the police gather information
on community perceptions that the department needs to address.
CAPT. MICHAEL YANKOWSKI, Lansing Police Department
I have learned that because of how severe
the abuse was, I developed a mental illness that I am not allowing to control my life. Because of the abuse I was put into 10 different foster homes and three different residential. I have learned to cope with my mental illness, and I am a lovable person.
“A” IMPACT YOUTH
June 2011 Shining Star Winner
KYLE ANDERSONClient Services Specialist Ingham County Department of Human ServicesWraparound
Increased community knowledge of the system of care and decreased stigma
OUTCOME 6
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Father’s Day
Flag Day
JUNE 2012Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Annual caregiver and youth discussion groups
provide Impact with data for measuring
continuous quality improvement (CQI) indicators
as specified in workgroup plans. The 2011 fiscal
year discussion groups found that participants
have a positive opinion of
Impact services overall
and see them as being
supportive and helpful
for their family.
LADDER OF CAREGIVER PARTICIPATION
MAXIMUM PARTICIPATION
MINIMUM PARTICIPATION
6. Participating in leading efforts
5. Facilitating
4. Active participant
3. Attendee
2. Interested party
1. No involvement
I am staying home, and I am staying out of jail. I am going back to school.
CHRIS, IMPACT YOUTH
July 2011 Shining Star Winner
KATHY O’NEILLSupervisor ACMH Parent Support Partners
THE IMPACT FAMILY COUNCIL WAS FORMED IN APRIL 2006 TO PROVIDE FAMILY MEMBERS RAISING CHILDREN WITH EMOTIONAL, BEHAVIORAL AND/OR MENTAL HEALTH
CHALLENGES A PLACE TO SHARE THEIR STORIES, CONNECT WITH OTHER FAMILY MEMBERS, SHAPE THE FUTURE OF SERVICES IN INGHAM COUNTY, AND LEARN SELF-ADVOCACY SKILLS. MEMBERS SERVE ON IMPACT WORKGROUPS AND SPEAK LOCALLY AND NATIONALLY ABOUT THEIR EXPERIENCES.
A unified, family-driven, youth-guided and culturally and linguistically competent system of care for children with SED.
OUTCOME 5
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Independence Day
Ramadan Begins
JULY 2012Sunday Monday Tuesday Wednesday Thursday Friday Saturday
IMPACT FACTS SIGNS THAT A CHILD HAS SERIOUS EMOTIONAL DISTURBANCE (SED):• Has a hard time learning
• Has a hard time making and keeping friends
• Is angry for no reason
• Often seems sad or hopeless with no reason
• Seems to feel worthless or guilty for no reason
• Seems to have more fears than others
• Has lost interest in things he or she used to enjoy
• Avoids friends or family and wants to be alone all the time
• Often hurts others, destroys things or breaks the law
As it pertains to supporting permanency for
special needs children in foster care, the success
of Impact has been profound – and as a result
is now an integral part of our local child welfare
system.
JIM PAPARELLA, Executive Director Child and Family Charities (formerly Child & Family Services)
I am on medication to help me deal with the feelings
from the (bullying). I am very social with my peers and have many clubs and activities that keep me going.
JESSICA, IMPACT YOUTH
August 2011 Shining Star Winner
CHRISTINE SAYERSJuvenile Court Officer Ingham County Circuit Court – Family Division
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AUGUST 2012Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Impact has been very valuable for all of St. Vincent children services – foster care, adoption and residential care. When child-serving agencies collaborate, we can get so many more services for kids. Impact has stepped in to help in cases where adoptions for children with mental health challenges have fallen through and they have been returned to foster care. Impact services help new foster parents stabilize kids in those circumstances. Impact also has reduced out-of-home placement. Therapists and Wraparound teams provided by Impact help us keep youth in foster homes so that they don’t have to go to residential placement. We couldn’t do that without Impact’s extra support. It is very beneficial to the Ingham County community to keep the collaborative going.
GINA VILLAS SNOEYINK, Child Welfare Program Director for St. Vincent Catholic Charities
It’s been a year since I was hospitalized and I’ll graduate high school next year.
NEICEY, IMPACT YOUTH
September 2011 Shining Star WinnerBETSY PENNINGTONSubstance Abuse Counselor Prevention & Training Services (PATS)
THE IMPACT SYSTEM OF CARE STAFF created a SHINING STAR AWARD to recognize individuals at partner agencies who go the extra mile to ADVANCE THE INITIATIVE. Award winners are nominated based on the recommendations of the recipient from the previous month. The monthly award consists of a traveling trophy and notebook, in which peers write words of praise and encouragement. Winners from October 2010 through September 2011, the initiative’s fiscal year, are featured in this calendar. All of the winners and some of the comments from their colleagues are posted under the media tab at WWW.IMPACTSYSTEMOFCARE.ORG.
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Labor Day
Patriot Day
Native American Day
Grandparents Day
Yom Kippur
Rosh Hashana
SEPTEMBER 2012Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Impact provides the Lansing School District with another tool to use instead
of student suspension. Wraparound meetings held in schools help involve
school personnel who are key to the student’s life in their improvement plan.
JAMES DAVIS, Lansing School District Deputy Superintendent
I don’t smoke or drink, and I am
trying to get my grades up so I can pass my classes. I’m on the church and dance team and part of Impact, so I can stay out of trouble.
ZACK, IMPACT YOUTH
October 2011 Shining Star WinnerREBECCA STOWELLJuvenile Court Officer Ingham County Circuit Court Family Division
OCTOBER 2012Sunday Monday Tuesday Wednesday Thursday Friday Saturday
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Columbus Day
Halloween
Bosses Day
United Nations Day
Reduced need for out-of-home placements
Efficient use of resources
November 2010 Shining Star WinnerCHRIS MOORELead Behavior Specialist Highfield’s Inc./Ingham Academy
I am sitting back and
looking at my life and all the things that I have going on – my daughter, my mom, school, finding a job. It makes me feel stressed, but when it is all done, I feel accomplished.
LELAH, IMPACT YOUTH
OUTCOME 2
OUTCOME 3
The Ingham County Board of Commissioners thought the initial financial
commitment to Impact System of Care would be worth it in the long run – and
it has been. Not only has the county saved $1.2 million by keeping our children
in Ingham County and out of residential care – we have data to show that the
Wraparound intervention is helping them stay out of trouble, communicate
better and stay in school.
Additionally, because of the way the program involves
families, Impact is having a ripple effect benefiting everyone
in the family. The Impact initiative has truly been a win-win
for our county’s citizens and finances.
REBECCA BAHAR-COOK, Ingham County Commissioner
175 YOUTHS WERE ACTIVE IN SERVICES IN FY 2011. IMPACT HAS SERVED 566 YOUTHS SINCE 2006.
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Election Day
Veterans Day
Thanksgiving Day
Daylight Saving Time Ends
NOVEMBER 2012Sunday Monday Tuesday Wednesday Thursday Friday Saturday
IMPACTSYSTEMOFCARE.ORGImpact Parent Support Partners are parents of children who experience emotional,
behavioral or mental health challenges. They partner with families to support,
educate and empower them to use their voice, develop positive relationships
with service providers, and develop skills to navigate the systems with which
the youth and family are involved. Parent support partners are provided by
the Association for Children’s Mental Health (ACMH), a
statewide family organization and Impact partner.
The Impact website provides a wealth of information
about the system of care initiative, including a
brochure, meeting and event calendar, a directory of
Impact partner staff members,
annual reports, Theory of
Change and workgroup reports,
videos and photo galleries. Visit
impactsystemofcare.org.
I get really good grades. I am involved in after school
activities. I have next to perfect attendance. I have a lot to care about, and I’m graduating with my class.
DOMINIQUE, IMPACT YOUTH
Increased community knowledge of the system of care and decreased stigma
OUTCOME 6December 2010 Shining Star WinnerYASHEEMA MARSHALLJuvenile Court Officer (FSS Program) Ingham County Circuit Court–Family Division
DECEMBER 2012
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New Year’s E ve
Kwanzaa Begins
Hanukkah
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
WE ARE IMPACT• Association for Children’s Mental Health• Boys & Girls Club of Lansing• Child and Family Charities (formerly Child & Family Services)• Community Coalition for Youth• Community Mental Health Authority, C-E-I• Cristo Rey Community Center• Highfields, Inc.• Ingham County Circuit Court – Family Division• Ingham County Department of Human Services• Ingham Intermediate School District• Lansing Police Department• Lansing School District• Lutheran Social Services• Michigan Council on Crime and Delinquency• St. Vincent Catholic Charities• Youth and Families from Ingham County
The art featured in this Report to the Community was created by Ingham County youth in recognition of Children’s Mental Health Awareness Day. To see all of the art that the youth have created since 2008, go to the media page at .www.impactsystemofcare.org