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SANTA CLARA COUNTY WRAPAROUND. Provider Presentation to the Mental Health Board System Planning & Fiscal Committee November 3, 2011. Juan’s Story Drugs and illness pulled Juan’s family apart. Wraparound helped put it back together. Kiana's Story - PowerPoint PPT Presentation
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Jason's Story"One family after another gave up on him..."
SANTA CLARA COUNTYSANTA CLARA COUNTYWRAPAROUNDWRAPAROUND
Juan’s StoryDrugs and illness pulled Juan’s family apart. Wraparound helped put it back together.
Kiana's Story"I was masking my emotional hurt with the physical hurt that cutting (myself) gave me."
Provider Presentation to the Mental Health Board
System Planning & Fiscal Committee
November 3, 2011
To provide an Overview of
Santa Clara County Wraparound.
Presentation Purpose
• “Wraparound” as a term – Dr. Lenore Behar, 1980’s
• 1975 – 1985 Wraparound Initiatives in Canada, Alaska, Illinois, Vermont, and Washington
• Wraparound brought to CA in 1993 by EMQ FamiliesFirst after closing 125 residential beds
• From pilot to permanent service in CA, 1996 - 2001
Wraparound History
EMQ FamiliesFirst
Rebekah Children’s Services
Unity Care (Project Odyssey)
Wraparound History
3 Providers in Santa Clara County
EMQ FamiliesFirst has been providing Wraparound services since 1994 and has been serving Santa Clara County for more than 140 years.
EMQ FamiliesFirst has a rich history moving from orphanage care to foster care and a full range of mental health services.
EMQ FamiliesFirst
Rebekah Children’s Services has been providing Wraparound services via the Compadres program since 1998 and has been serving Santa Clara County for 114 years. Initially, Rebekah Children’s Services was an orphanage and slowly expanded to better serve the growing community.
Today RCS offers a full continuum of services including Adoption and Foster Care, Prevention and Education, Out-Patient Mental Health Services, First Five, Non-Public School, Residential Treatment, and Wraparound.
Rebekah Children’s Services
Since 1993, UCG has provided a full range of culturally proficient services to youth & families in the juvenile justice, mental health and child welfare systems and in 2009 launched Project Odyssey specifically targeting African American youth & families.
Unity Care (Project Odyssey)
• Wraparound was implemented in SCC for the children at highest risk with the most complex needs.
• Criteria was developed that matches the criteria for hospitalization or out-of-home residential care.
• SCC Wraparound children have either a family or foster family that is open to intensive in-home care.
Who is served by Wraparound
“I was certain he was going to kill either himself or someone else.”
“It was either her going away for good or risk hurting the little ones at home.”
“He was chasing me around the kitchen with a butcher knife.”
“The only future I could see for him was living under the bridge somewhere.”
“RCS Wraparound Care made it possible for my son (then age 10) to leave his group home of nearly three years and
come home forever.”
Parent Quote Slide re: Acuity
Who is served by Wraparound
FY10 YouthEMQFF 184Rebekah 64Unity Care 16Total 250
Youth Served FY10 & 11
Gender
FY11 YouthEMQFF 169Rebekah 58Unity Care 23Total 236
Female43%
Male57%
Who is served by Wraparound
Ethnicity
White22%
Unknown1%
Other Race1%
Native American
2%
Hispanic54%
Black/ African
American15%
Asian/ Pacific
Islander5%
Who is served by Wraparound
Age Range
DiagnosisFY10 Client
CountFY11 Client
CountTOTAL
1 diagnosis 198 162 360
2 or more diagnosis 65 87 152
TOTAL 263 249 512
Acuity by Diagnosis
0
5
10
15
20
25
30
35
40
45
50
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Who is served by Wraparound
Referral by SystemFY10
Youth ServedFY11
Youth ServedTOTAL
DADS Program Referral 1 0 1Doctors Office 1 2 3
EMQ Mobile Crisis 0 1 1EPS 2 1 3
Family/Friend 12 8 20Healthy Kids 1 0 1
Juvenile Custody 3 4 7Med Clinic Other 0 1 1
MH Hosp. Fremont Hospital 1 1 2
MH Hosp. Other 4 5 9Other 7 8 18SARC 0 1 1
Self 3 1 4SOC Bascom MH 1 1 2
SOC CathChar (Golden Gateway) 1 1 2SOC EMQ 2 2 4
SOC LasPlumas 1 1 2SOC Rebekkah’s 1 1 2
Social Services 28 37 26Valley Connections 1 0 1
VMC Pediatrics Clinic 0 1 1Missing 193 172 365
TOTAL 263 249 512
Wraparound is an approach to implementing individualized, comprehensive services for youth with complicated multi-dimensional problems.
Wraparound is a family centered, community-oriented, strengths-based, highly individualized planning process aimed at helping people meet their unmet needs both within and outside of formal human services systems, while they remain in their neighborhoods and homes, whenever possible.
What is Wraparound
Wraparound Philosophy
Health
Family Educational
Social
Culture
Restitution
Finances
Safety
Permanent Relationships
Emotional/ Psychological
Transportation
Accountability
Immigration
Language
Work
Spiritual
Creativity
Legal Competency
Public Safety
Place to live
Behavioral
Steps of the Wraparound Process
The First Wraparound Meeting
Life Domains & Outcomes
Defining Needs
Selecting Strengths-basedStrategies
Crisis, Safety & Transitions
Logistics & Evaluation
Convening a Family Team
DiscoveringStrengths
Initial SafetyCheck
Decisions&
Linkages
Who May be on the Family Team?
FacilitatorGrandparentsTeacher
Mentor
Neighbor
CHILD
Social Worker
DADProbation
Officer
Therapist
Child’s FriendFamily
Specialist
"Nobody has ever before asked the nuclear family to live all by itself in a box the way we do. With no relatives, no support, we've put it in an impossible situation."
- Margaret Mead
Clinical Program Manager (CPM): Oversees the operation of PODs, made up of Facilitators, Family Partners, and Family Specialists. Works in concert with fellow CPMs and the Director to assure continuity for all internal service delivery.Facilitator: The service team coordinator for each child and family assigned to them. Facilitates all team meetings and activities as well as all family plans including treatment plans and assessments. Responsible for communication amongst the team and all County collaborators. Family Partner: Provides support specifically to the caregiver(s) of the child as well as support to the process of empowering the family through the team process. Often assumes a co-leader role with the Facilitator. Family Specialist: Provides direct service to the child or children within the home. Assists the child with all aspects of need focused on through the family plan. This individual often provides a significant amount of behavior management as well as adjunctive services to the youth while in a community and or home setting. The role of Family Specialist is an integral member of the team.
Wraparound Staff Roles
Ensuring Transitions to the Community
Child and Family Team natural members Transition to community – addressed in each
Individualized Child and Family Plan from beginning to end
All services/supports occur in community Use of community formal/informal services
and supports for strategies on the Individualized Child and Family Plan
Family Coaching Model Family Events
Outcomes at the Child and Family level Outcomes at the employee level Outcomes at the program level
Outcome-based
• Wraparound Fidelity Index v.4• Ohio Scales• Child Adolescent Needs and Strengths• Youth and Caregiver Satisfaction Survey
“Why would you keep doing something for my son if it doesn't work?”
- Mother of a child in services
Success
Stories
Q & A
Mary Kaye Gerski, CEO Rebekah Children’s Services (408) 846-2106
André Chapman, CEO Unity Care (Odyssey Project) (408) 510-3480 [email protected]
Laura Champion, Executive Director EMQ FamiliesFirst (408) 364-4129 [email protected]
Contact Information
National Wraparound Initiative website: http://www.nwi.pdx.edu
