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Multi-agency Multi-agency Service Planning: Service Planning:
IIIPIIIPApril 9, 2005April 9, 2005
Joyce Strand, Ph.D University of Minnesota DuluthJoyce Strand, Ph.D University of Minnesota DuluthTrudie Hughes, Ph.D. University of Minnesota DuluthTrudie Hughes, Ph.D. University of Minnesota Duluth
Marva Gellhaus, Ph.D. South Dakota School for the Blind and Marva Gellhaus, Ph.D. South Dakota School for the Blind and Visually Impaired. Visually Impaired.
Minnesota System of Minnesota System of Interagency Coordination Interagency Coordination
(MnSIC)(MnSIC) The Interagency Services For The Interagency Services For
Children with Disabilities Act Children with Disabilities Act (M.S.125A.023) was passed in 1998.(M.S.125A.023) was passed in 1998.
Purpose: to develop and implement a Purpose: to develop and implement a coordinated, multidisciplinary coordinated, multidisciplinary service system for children ages 3-service system for children ages 3-21 with disabilities (subd. 2) 21 with disabilities (subd. 2)
Phased in over a 4 year process Phased in over a 4 year process (subd.3) by age groups. (subd.3) by age groups.
Barriers that preceded Barriers that preceded MnSICMnSIC
PaperworkPaperwork Multiple applicationsMultiple applications Multiple case managersMultiple case managers Communication Communication Service limitsService limits Turf Turf Lack of understanding between providersLack of understanding between providers BlameBlame No coordination of servicesNo coordination of services NOT family centeredNOT family centered
Coordination of 14 Services Coordination of 14 Services and Agencies and Agencies
Maternal & Children Maternal & Children Health ProgramHealth Program
Individuals with Individuals with Disabilities ActDisabilities Act
Medical AssistanceMedical Assistance Developmental Disabilities Developmental Disabilities
Assistance and Bill of Assistance and Bill of RightsRights
Head Start ActHead Start Act Rehabilitation ServicesRehabilitation Services Juvenile Court ActJuvenile Court Act Children’s Mental Health Children’s Mental Health
CollaborativeCollaborative Family Service Family Service
CollaborativeCollaborative
Family Community Support Family Community Support PlanPlan
Minnesota Care ProgramMinnesota Care Program Community Health Service Community Health Service
GrantsGrants Community Social Service Community Social Service
ActAct Community Interagency Community Interagency
Transition CommitteesTransition Committees Services provided under a Services provided under a
health plan in conformity health plan in conformity with an IIIPwith an IIIP
Minnesota Statute 125AMinnesota Statute 125A
System ComponentsSystem Components Multi-agency/disciplinary screening, Multi-agency/disciplinary screening,
assessment and evaluation. assessment and evaluation. Service coordinationService coordination Single Plan DevelopmentSingle Plan Development Information, Resources & Technical Information, Resources & Technical
AssistanceAssistance Service access, identification of available Service access, identification of available
resources and plans to address gapsresources and plans to address gaps Dispute resolution processes Dispute resolution processes Provision and payment of servicesProvision and payment of services System assurances and accountabilitySystem assurances and accountability
Single Plan DevelopmentSingle Plan Development
Assure development and review of Assure development and review of single plansingle plan Writing the planWriting the plan Facilitation the coming together of Facilitation the coming together of
team membersteam members Coordinate the identification and Coordinate the identification and
provision of service and fundingprovision of service and funding Monitor progress and facilitate follow Monitor progress and facilitate follow
up and reviewsup and reviews
Individual Interagency Individual Interagency Intervention Plan (IIIP) Intervention Plan (IIIP)
PurposePurpose Coordination of existing services and supports Coordination of existing services and supports
in school, home, and communityin school, home, and community Document and processDocument and process
Contains the mandated plan requirements of Contains the mandated plan requirements of many programs and servicesmany programs and services
Product of interaction, collaboration and Product of interaction, collaboration and partnerships between the child, family, the partnerships between the child, family, the community, and every agency involved in community, and every agency involved in providing services to a child and familyproviding services to a child and family
Standardized state web based form Standardized state web based form Eligibility Eligibility
So what is the IIIP?So what is the IIIP?(Individual Interagency (Individual Interagency
Intervention Plan)Intervention Plan) Strength based Strength based Only needed Only needed
components are components are completedcompleted
Confidential Confidential Well coordinated Well coordinated
with interagency with interagency agreementsagreements
Wrap aroundWrap around
Person & family Person & family centered process – centered process – family takes the family takes the leadlead
Written in family Written in family friendly languagefriendly language
Family choiceFamily choice
IIIP contains statutory IIIP contains statutory documentation for….documentation for….
CADI – Community Alternatives for Disabled CADI – Community Alternatives for Disabled IndividualsIndividuals
CAC – Community Alternative CareCAC – Community Alternative Care TBI – Traumatic Brain InjuryTBI – Traumatic Brain Injury IFSP – Individual Family Service PlanIFSP – Individual Family Service Plan ISP – Individual Service PlanISP – Individual Service Plan IEP – Individual Education PlanIEP – Individual Education Plan IFCSP – Individual Family Community Support IFCSP – Individual Family Community Support
PlanPlan ICSP – Individual Community Support PlanICSP – Individual Community Support Plan Multi-agency Plan of Care (Children’s Mental Multi-agency Plan of Care (Children’s Mental
Health Collaboratives) Health Collaboratives)
includes the following includes the following provider plansprovider plans
IHP – Individual Habilitation PlanIHP – Individual Habilitation Plan ITP – Individual Treatment PlanITP – Individual Treatment Plan Out of Home Placement Plan – non-child Out of Home Placement Plan – non-child
protectionprotection Nursing Care plansNursing Care plans Home Care plansHome Care plans IPE – Individual Plan for EmploymentIPE – Individual Plan for Employment CorrectionsCorrections Other provider plans or program specific Other provider plans or program specific
plansplans
IIIP Planning Process : IIIP Planning Process : Transition PlanningTransition Planning
Family member, student, &/or other team member Family member, student, &/or other team member requests IIIPrequests IIIP Eligible (rec. service from 2 or more agencies)Eligible (rec. service from 2 or more agencies)
Lead agency is determined (may be education but not Lead agency is determined (may be education but not always)always)
Determination of all service agencies (referral)Determination of all service agencies (referral) Service coordinatorService coordinator
Strengths and needs assessmentsStrengths and needs assessments Facilitate team planning processFacilitate team planning process Manage implementation of support planManage implementation of support plan
Development of an individualized plan that is family Development of an individualized plan that is family centered and team basedcentered and team based
Implementation by participating IIIP membersImplementation by participating IIIP members Team reviewTeam review
FormForm
MnSIC IIIP Guidebook – MnSIC IIIP Guidebook –
http://www.mnsic.org/products/iiip/iiiphttp://www.mnsic.org/products/iiip/iiip21.pdf21.pdf
IIIP forms – IIIP forms –
http://www.mnsic.org/products/iiip/iiiphttp://www.mnsic.org/products/iiip/iiipforms21.pdfforms21.pdf
Core Elements of IIIPCore Elements of IIIP
Demographic informationDemographic information Family/student considerationsFamily/student considerations Description of child/studentDescription of child/student Shared outcomes-Shared outcomes-
Goals/outcomesGoals/outcomes Objectives/indicatorsObjectives/indicators Services Services
Common elementsCommon elements
Demographic informationDemographic information Family/student considerationsFamily/student considerations Description of child/studentDescription of child/student
Shared GoalsShared Goals
John John Shared outcome: increase John’s self Shared outcome: increase John’s self
regulation of anger behavior in home, regulation of anger behavior in home, school and community. school and community.
Shared outcomeShared outcome SchoolSchool
Goal #1: John will Goal #1: John will increase his use of increase his use of appropriate manner of appropriate manner of disagreeing from verbal disagreeing from verbal and physical aggression and physical aggression to disagreeing in a calm to disagreeing in a calm and concise manner. and concise manner.
Objective 1a– When Objective 1a– When asked, John will asked, John will verbally identify the verbally identify the steps to disagreeing steps to disagreeing appropriately 9 of 10 appropriately 9 of 10 times. times.
Objective 1b – In a role Objective 1b – In a role play, John will make eye play, John will make eye contact, use a pleasant contact, use a pleasant voice, say “I understand voice, say “I understand how you feel,” say “I how you feel,” say “I feel differently feel differently because…” and listen to because…” and listen to the other person 8 of 10 the other person 8 of 10 times. times.
School School Service – Social Skills Service – Social Skills
building/groupbuilding/group Minutes/session – 20 minutesMinutes/session – 20 minutes Service location – Langer Service location – Langer
Elementary School Elementary School Frequency – 2 x per weekFrequency – 2 x per week Agency – District 709Agency – District 709 Start date – 9/1/05Start date – 9/1/05 Duration – 05/06 school yearDuration – 05/06 school year Service Provider –Langer Service Provider –Langer
Elementary School Elementary School Name – Jackie Jewel Name – Jackie Jewel Telephone – 555-xxxxTelephone – 555-xxxx Address – Address – Payment Source – District Payment Source – District
709709 Authorized signatureAuthorized signature
Shared outcomeShared outcome Mental Health or Mental Health or
CorrectionsCorrections Goal 2 - Increase Goal 2 - Increase
appropriate behavior at appropriate behavior at home and in the home and in the community. community.
Objective 2 – will Objective 2 – will assist family in assist family in developing and developing and implementing a home implementing a home behavior management behavior management plan.plan.
Mental Health or Corrections Mental Health or Corrections Service – In-Home family Service – In-Home family
therapytherapy Minutes/session – 60 minutesMinutes/session – 60 minutes Service location – John’s Service location – John’s
homehome Frequency – 1X Frequency – 1X Agency – Social ServicesAgency – Social Services Start date – 9/1/05Start date – 9/1/05 Duration – 6 monthsDuration – 6 months Service Provider –Social Service Provider –Social
ServicesServices Name – Jeremy PiName – Jeremy Pi Telephone – 555-xxxxTelephone – 555-xxxx Address – Address – Payment Source – Social Payment Source – Social
ServicesServices Authorized signatureAuthorized signature
Shared outcomeShared outcome Public HealthPublic Health
Goal 3 – increase Goal 3 – increase appropriate behavior at appropriate behavior at home and in the home and in the community. community.
Objective 3a – will Objective 3a – will evaluate home for safety evaluate home for safety issuesissues
Objective 3b – provide Objective 3b – provide support to family in support to family in implementing behavior implementing behavior planplan
Objective 3c – assist Objective 3c – assist family in locating family in locating physician for medication physician for medication managementmanagement
Objective 3d – Monitor Objective 3d – Monitor medication, including medication, including side effects. side effects.
Public healthPublic health Service – Home visitingService – Home visiting Minutes/session – 60 minutesMinutes/session – 60 minutes Service location – John’s Service location – John’s
homehome Frequency – 1X Frequency – 1X Agency – Public Health NurseAgency – Public Health Nurse Start date – 9/1/05Start date – 9/1/05 Duration – 6 monthsDuration – 6 months Service Provider – County Service Provider – County
Public Health Agency Public Health Agency Name – Ginny LouName – Ginny Lou Telephone – 555-xxxxTelephone – 555-xxxx Address – Address – Payment Source – County Payment Source – County
Public Health AgencyPublic Health Agency Authorized signatureAuthorized signature
Individual Transition Individual Transition Elements (Mn)Elements (Mn) Individual Education Plan has to Individual Education Plan has to
address the following elements for address the following elements for transition aged students. transition aged students. Employment/CareersEmployment/Careers Post Secondary EducationPost Secondary Education Home LivingHome Living Recreation and LeisureRecreation and Leisure Community ParticipationCommunity Participation
South Dakota Program South Dakota Program PlanningPlanning
Course of Study Planning FormCourse of Study Planning Form Accommodations checklist Accommodations checklist
Case Study “Jake”Case Study “Jake”
Read case studyRead case study Using the sample forms in the Using the sample forms in the
handout – which services do you handout – which services do you think Jake will need?think Jake will need?
Develop a sample outcome that Develop a sample outcome that includes objectives from at least includes objectives from at least three agencies/services.three agencies/services.
Interagency Coordination Interagency Coordination Results Summary Results Summary (Northern Lights (Northern Lights
Special Education Coop, 2004)Special Education Coop, 2004) AwarenessAwareness BenefitsBenefits OfferingOffering InvolvementInvolvement ConcernsConcerns Needs based formatNeeds based format AgencyAgency Mandated agenciesMandated agencies Information sourceInformation source Improvement recommendationsImprovement recommendations SummarySummary
Specific Issues -Specific Issues - TrainingTraining School work day hoursSchool work day hours Limited understandingLimited understanding Technology issuesTechnology issues Meetings too large and involvedMeetings too large and involved Takes too much timeTakes too much time Lack of administrative supportLack of administrative support Case managementCase management Priorities of difference Priorities of difference
participants/agenciesparticipants/agencies
Specific Issues + Specific Issues +
Fewer meetings to attendFewer meetings to attend Plans are better when information is Plans are better when information is
sharedshared Paperwork reducedPaperwork reduced Student services are improvedStudent services are improved Helpful to families to only have one Helpful to families to only have one
planplan