Local Interagency Planning Teams

Planning for Success

Please sit at a table with other members of your Local Interagency Planning Team.

Apr 21, 2023 1

Welcome

• On a sheet of scratch paper, complete the following statement: One benefit our community should receive from a successful Local Interagency Planning Team is…

Apr 21, 2023 2

Icebreaker

• Look around the room at the characteristics posted on the wall.

• Choose one that best describes you and go stand by it.

• With others who selected that characteristic, discuss why you selected it and what types of things you do on your team that reflect that characteristic.

Apr 21, 2023 3

Introductions

• Discuss benefits each person hopes for, and write a statement that best reflects your collective hopes. – If we could achieve one benefit for our community,

we would like…

• Choose a spokesperson.• Spokesperson: Tell who is represented in your

LIPT and tell your hoped-for benefit.

Apr 21, 2023 4

Agenda

• Introduction and Overview• System of Care– Benefits of SOC Philosophy– Team Application: Looking for Evidence– Examining Our Core Beliefs– Developing a Logic Model

Apr 21, 2023 5

Agenda, cont.

• Nuts and Bolts: How to Achieve Your Goals– LIPT Membership– Case Planning Process– Meeting Management– Team Application: Case Planning

• Summary and Conclusions

Apr 21, 2023 6

Goals

• Each team member will be able to describe why LIPTs are important, what they should accomplish, and what structures need to be put in place to maximize their potential.

• Each team will be able to set in place processes and structures that will facilitate the Local Interagency Planning Team’s ability to identify and secure services in the community to assist youth with severe emotional disturbance (SED) and/or addictive disease (AD) and their families.

Apr 21, 2023 7

Housekeeping

• Phone calls• Restrooms• Breaks• Lunch• Punctuality

Apr 21, 2023 8

Norms

• Listen with an open mind• Work toward solutions• Share ideas• Respect confidentiality• Represent the LIPT and community as a

whole, not personal interests• Think of what is best for youth and families

Apr 21, 2023 9

SYSTEM OF CARELocal Interagency Planning Teams

Apr 21, 2023 10

SOC Core Values (3 C’s)

The system of care should be:• Child centered and family focused, with the

needs of the child and family dictating the types and mix of services provided.

• Community based, with the focus of services as well as management and decision making responsibility resting at the community level.

• Culturally competent, with agencies, programs, and services that are responsive to the cultural, racial, and ethnic differences of the populations they serve.

Apr 21, 2023 11

Bad indicators went down

Good indicators went up School attendance and achievement Child & Adolescent Functional Assessment Scale Sustained mental health improvements Family stability – employment, living arrangements

Inpatient hospital days and rates Placement in juvenile detention, other secure facilities Arrests Suicide-related behaviors

Here are results of a national study of 121 programs:YES.

Is SOC an effective approach?

Apr 21, 2023 12

The Child & Adolescent Functional Assessment Scale assesses the degree of impairment in functioning due to emotional, behavioral, or psychiatric problems.

CAFAS Mean Score for 22 KidsNet Youth

6 MONTH FOLLOWUP

INTAKE 1 YEARFOLLOWUP

DISCHARGE

LOWERING the LEVEL of IMPAIRMENT

100.589

76.6765

SOC Outcomes: CAFAS

Apr 21, 2023 13

KIDSNET Rockdale NATIONAL Aggregate

SUSPENSION

EXPULSION66.7%

INTAKE

6.3%

INTAKE

SUSPENSION

EXPULSION45.1%

INTAKE

40.0%35.4%

2.6%INTAKE 6 MOs

2.2%

6 MOs

0.0%6 MOs

6 MOs

Apr 21, 2023 14

SOC Outcomes: School

KIDSNET Rockdale

NATIONAL Aggregate

Intake 6 Months Intake 6 Months

56.3%

68.8%65.8%

75.0%

Apr 21, 2023 15

SOC Outcomes: Living at Home

And in a Study From Maine…

These Indicators Went Down↓ Days in inpatient care ↓ Cost of inpatient care↓ Arrests↓ Per-child cost of arrests↓ Placements in juvenile

detention and other secure facilities

↓ Suicide-related behaviors

These Indicators Went Up↑ Mental health

improvements sustained↑ School attendance↑ School achievement

Apr 21, 2023 16

The Maria Fenton Story

• Please think about how the ten principles might apply to their story.

• What would a system of care look like for Maria and the Fentons?

Apr 21, 2023 17

Looking for Evidence

• Did the LIPT use each of the SOC principles?• For each principle, look for evidence that it

was followed/not followed.• Choose a spokesperson to present a short

summary of the community story.• Choose a spokesperson to present your

findings on the SOC principles.

Apr 21, 2023 18

Team Discussion: SOC Principles• What patterns do you see in your ratings? What

do they mean?• What can you do to resolve “I don’t know” items?

(For example, is there data you should collect?)• Do you believe in these principles? What can you

do to build a consensus on shared beliefs?• In which areas do we have the greatest gaps

between beliefs and actions?• What can you do to make sure your actions

reflect your beliefs?

Apr 21, 2023 19

Logic Models• Snapshots of an organization or team• Typically include:– Mission and vision– Short-term outcomes– Long-term outcomes– Conditions and assumptions– Activities and services– Inputs (resources)

• Help teams to define—and stay grounded in—what is important to them

• May take many formsApr 21, 2023 20

NUTS AND BOLTSLocal Interagency Planning Teams

Apr 21, 2023 21

Teams, Teams, TeamsTeam Purpose Who for? Who

involved?When?

Family Team Meeting (FTM)

Engage family and supporters in exploring strengths & needs; engage family supports in addressing safety concerns & risk factors

Families whose children are in DFCS custody (optional for DFCS involved)

Family, family supporters.Led by CM or by FTM facilitator

Within 9 days of child entering care

Multi-Disciplinary Team (MDT)

Review comprehensive child and family assessment (CCFA); case planning

Families whose children are in DFCS custody or involved with CPS

Family, service providers. Led by CCFA provider.

Within 25 days of child entering care

Local Interagency Planning Team (LIPT)

Engage family and supporters in exploring strengths & needs; case planning

ALL families of children with SED/AD

Family, family supporters, service providers. Led by CM.

As needed

DJJ Screening Committee

Determine placement Committed youth Youth, family, other agencies. Led by ACS

Within 10 working days of commitment order

Apr 21, 2023 22

Membership• DFCS representative• DJJ representative• MHDDAD representative• DOL Rehab. Services representative• Public Health representative• Local mental health service providers• GNET/Local public schools representative• Optional: Independent courts, Family Connection,

Other community supports (mentoring, recreation, housing)

• Ad hoc required: Parents or parent advocates, when their child is discussed

Apr 21, 2023 23

Parent Members• Whenever possible, the parent (or advocate) should

be present during the entire time their child is discussed.

• Keep parent involved at all times.• If a parent is unable to make a meeting, reschedule

at a time and place that is convenient for them. • Avoid “no shows” by discussing issues such as

transportation and child care ahead of time. • If necessary, the parent/advocate can participate by

phone.• Include the parent in at least some of the follow-up

meetings, especially during transition times.Apr 21, 2023 24

Organizing Structures

• Chair: One to two years• Shared leadership• Memorandum of agreement• Results-based facilitator

Apr 21, 2023 25

Case Management

• Criteria for youth to be served by the committee• How often to review cases• How to review cases• Involving families

Apr 21, 2023 26

Record Keeping

• Central binder for all active cases– Community Care Plan– Safety Plan– Crisis Plan– Unified Release of Information– Agendas and minutes related to that youth

• Retention:– Case records: Three years after a case closes.– Meeting agendas and minutes: Two years– HIPAA compliant

Apr 21, 2023 27

Meeting Management

• Length of meetings• Number of cases to discuss• Agenda• Minutes• Process for case planning (Meeting

Preparation p. 20 – Meeting Agenda p. 21 – 22)

Apr 21, 2023 28

Case Planning Tools

• Community Care Plan• Safety Plan• Crisis Plan• Unified Release of Information• Confidentiality Agreement• Agenda guidelines for case planning (Meeting

Preparation p. 20 & Meeting Agenda p. 21 – 22)

Apr 21, 2023 29

Derek’s JourneyQuestions to Answer Tools

• What should the LIPT do to prepare for Derek’s LIPT meeting?

• What is the role of the chair? The presenting case manager? The family?

• Derek’s Community Care Plan Background Information Form (Form)

• Unified Release of Information (Form)

• Meeting Preparation (p. 20)

• What happens during the LIPT meeting?• How is the meeting facilitated?• What role does the family play?

• Meeting Agenda (p. 21-22)• Agenda Template (p. 23)• Confidentiality Agreement (Form)

• How are the safety and crisis plans developed? • Crisis Plan (Form)• Safety Plan (Form)

• How is the Community Care Plan developed? • Derek’s Community Care Plan (Form)

• What follow up occurs? • Records (p. 16)• Minutes (p. 24-25)Apr 21, 2023 30

Maria’s Journey

Apr 21, 2023 31

• Determine roles for the LIPT meeting: Chair, presenting case manager, parent, recorder, agency and provider representatives

• Complete all preparation steps (p. 20)• Conduct the meeting (p.21 - 22)• Create crisis plan, safety plan, and community

care plan• Write minutes for Maria’s portion of the

meeting

Thank you!

• Note: Add your name and contact information and any closing comments here.

Apr 21, 2023 32