System of Care

 

Service Coordination

 

The FCFC Service Coordination Process is an integral component of a local system of care. FCFC Service Coordination is a process of service planning and system collaboration that provides individualized services and supports to families who have needs across multiple systems. A system of care is a coordinated network of community-based services and supports that are organized to meet the challenges of children and youth with multiple needs and their families. System of Care is family driven, youth guided, culturally competent and community based.

Designed in the mid 1980's for children with multi-systemic needs, the System of Care (SOC) approach has demonstrated effectiveness in improving individual outcomes; including; but not limited to the following outcomes: decreased behavioral concerns, improved academic performance, and decreased contacts with the juvenile justice system. Parents who have received these services have also reported increased satisfaction with treatment and decreased levels of family stress. In addition, this model of integrated programming has demonstrated decreased use of out of home placement and reduced rates of re-institutionalization.

Fundamentally, a system of care is a range of services and supports supported by an infrastructure and guided by a philosophy implemented at different levels.

The components of Service Coordination include:

  • Available to children and youth (0 through 21) with multi-systemic needs (i.e., child is not necessarily involved in two or more systems, but child's needs involve more than one system).
  • Clear referral process is established that can be accessed by youth, families and agencies.
  • Youth /Families are expected and encouraged to fully participate in all service coordination plan meetings.
  • Team meetings are individualized to include appropriate agency/ school staff, and family identified support persons. The teams are reflective of the youth /family needs, in order to assist with the most appropriate individualized family service coordination plan.
  • Meetings will take place before non-emergency out-of-home placements and within 10 days of emergency placements.
  • Issues pertaining to confidentiality, least restrictive environment and cultural sensitivity are addressed in all phases of the service coordination process.
  • A standardized process is used to assess the needs and strengths of the youth/family.
  • An individual, approved by the youth /family, is designated to track the progress of the plan, schedule reviews, and facilitate the service coordination plan meetings.
  • Individualized Family Service Coordination Plans are developed for and with each youth/family.
  • Individualized safety plan/programming with clear delineated strategies is developed for and with each youth /family.
  • Individualized crisis response plan detailing options for preventing known short-term crisis situations based on family need.
  • A dispute resolution process is available that can be accessed by youth parents and agencies.
  • Youth /Families may invite a family advocate, mentor, or support person to participate in service coordination plan meetings.
  • When using FCSS funds on behalf of a family connected to FCFC Service Coordination, parent peer support is offered to families. 

 

It is critical that youth and family voice is present not only during their own individual planning meetings, but also at policy making levels. To support this, Ohio worked with National Alliance on Mental Illness of Ohio (NAMI Ohio) to enhance youth and family inclusion and voice. As part of a Substance Abuse and Mental Health Services Administration (SAMHSA) System of Care Grant, a Youth and Young Adult Advisory Council (YouthMOVE Ohio) and a Family Advisory Council were formed to enhance youth and family voice throughout the state. The Youth and Young Adult Advisory Council established an Ohio chapter of the national YouthMOVE organization. In doing so, YouthMOVE Ohio will continually be seeking partners to establish local chapters of YouthMOVE across Ohio.

Another System of Care effort is the Parent Advocacy Connection (PAC). PAC is a grassroots organization of trained advocates who reflect the cultural and ethnic make-up of the families they serve. PAC seeks to empower, educate, encourage, and equip families to partner with professionals as they navigate the child serving systems in Ohio. PAC operates throughout Ohio assisting parents whose children are involved in the county FCFC Service Coordination Process. All families accessing FCFC Service Coordination have access to advocacy services through PAC. PAC is overseen by the NAMI Ohio and is funded by Ohio Department of Mental Health and Addiction Services (OhioMHAS), Ohio Department of Job and Family Services (ODJFS), and Ohio Department of Youth Services (ODYS)

 

Hi-Fidelity Wraparound

 

Wraparound is based on a normalization model, and has developed as a way of multiple systems coming together with the child, youth, and family  and creating a highly individualized plan to address complex issues and needs. The wraparound  process is a way to improve the lives of children with complex needs and their  families.  It is not a program or a type of service, but a team based planning process used to develop plans of care  that are individualized based on the strengths and culture of the children and their family.  The plan is needs‐driven rather  than service‐driven, although a plan may incorporate existing  categorical services, if appropriate to meet the needs of the consumer.  The initial plan should be a combination of existing or modified services, newly created services, informal supports, and community resources, and should include a plan for a step‐down of formal services.

The U.S. National Wraparound Initiative has standardized ten guiding principles:    

1. Family voice and choice:  Family and youth/child perspectives are intentionally elicited and  prioritized during all phases of the wraparound process.  Planning is grounded in family members’  perspectives, and the team strives to provide options and choices such that the plan reflects family values and  preferences.

2. Team­based: The wraparound team consists of individuals agreed upon by the family and committed to  them through informal, formal, and community support and service relationships. 

3. Natural Supports:  The team actively seeks out and encourages the full participation of team members  drawn from family members’ networks of interpersonal and community relationships.  The wraparound plan  reflects activities and interventions that draw on sources of natural support.

4. Collaboration:  Team members work cooperatively and share responsibility for developing,  implementing, monitoring, and evaluating a single wraparound plan.  The plan reflects a blending of team  members’ perspectives, mandates, and resources.  The plan guides and coordinates each team member’s  work towards meeting the team’s goals.  

5. Community­Based: The Wraparound team implements service and support strategies that take place in  the most inclusive, most responsive, most accessible, and least restrictive settings possible, and that safely  promote child and family integration into home and community life. 

6. Culturally Competent: The Wraparound process demonstrates respect for and builds on the values,  preferences, beliefs, culture, and identity of the child/youth and family, and their community. 

7. Individualized: To achieve the goals laid out in the wraparound plan, the team develops and implements  a customized set of strategies, supports, and services. 

8. Strengths based: The Wraparound process and the wraparound plan identify, build on, and enhance the  capabilities, knowledge, skills, and the assets of the child and family, their community, and other team  members.  

9. Persistence: Despite challenges, the team persists in working toward the goals included in the  wraparound plan until the team reaches agreement that a formal wraparound process is no longer required. 

10. Outcome based: The team ties the goals and strategies of the wraparound plan to observable or  measurable indicators of success, monitors progress in terms of these indicators, and revises the plan  accordingly. 

For more information about the National Wraparound Initiative and its available information, resources and evaluation efforts, click here.

For more information on wraparound initatives in Ohio, click here.

 

Family-Centered Services and Supports (FCSS) Funding  

 

Several state agencies have pooled funding to provide some flexibility with non-clinical services and supports for children, youth, young adults and their families.  This unique funding stream is called Family-Centered Services and Supports.  As described above, families who have children with multiple systemic needs identified through the county FCFC Service Coordination process are eligible for FCSS-funded services and supports.

To access FCSS funding, FCFCs must follow the FCSS Guidance Document.

SFY22 FCSS Guidance Document

 

 

Contact for a County FCFC

Click the county map below to view your county's Family and Children First contact information.

FCFC County Map