mary jo meyers [email protected] wrapct presents: building a system of care utilizing the...
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Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
WrapCT Presents:
Building a
System of Care
Utilizing the
Wraparound Process
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
Three Levels of Three Levels of Change NeededChange Needed
Prac
tice Program
System
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
If you only work on If you only work on practice and fail to practice and fail to
work on system and work on system and program you get...program you get...
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
Turbo Care ManagementTurbo Care Management
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
If you only work on If you only work on program and fail to program and fail to
change practice and change practice and system you get…...system you get…...
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
Hardening of the CategoriesHardening of the Categories
Agency / Program IsolationAgency / Program Isolation Repackaged Categorical ServicesRepackaged Categorical Services Lack of Community Buy-InLack of Community Buy-In Lack of Cross System InvolvementLack of Cross System Involvement
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
If you only work on If you only work on system and fail to system and fail to
change program and change program and practice you get…...practice you get…...
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
The Amazing Exploding TriangleThe Amazing Exploding Triangle
Unstable base of care Unstable base of care Mid-level services in chaosMid-level services in chaos Client’s experience Client’s experience
random access to servicesrandom access to services Loss of mission, vision and Loss of mission, vision and
valuevalue Top down without bottom Top down without bottom
up up
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
System Of CareSystem Of Care
Incorporates a broad array of services Incorporates a broad array of services and supports organized into a and supports organized into a coordinated networkcoordinated network
Integrates care planning and Integrates care planning and management across multiple levelsmanagement across multiple levels
Is culturally and linguistically Is culturally and linguistically competentcompetent
Builds meaningful partnerships with Builds meaningful partnerships with families and youth at service delivery families and youth at service delivery andand policy levels policy levels Building Systems of Care: A Primer
Sheila A. Pires, Spring 2002
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
System of Care System of Care Guiding PrinciplesGuiding Principles
Comprehensive, incorporating a broad Comprehensive, incorporating a broad array of services and supportsarray of services and supports
IndividualizedIndividualized Provided in the least restrictive, Provided in the least restrictive,
appropriate settingappropriate setting Coordinated both at the system and Coordinated both at the system and
service delivery levelsservice delivery levels Involve families and youth as full Involve families and youth as full
partnerspartners Emphasize early identification and Emphasize early identification and
interventionintervention
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
. . . a process and an approach.
not a not a programprogram
or or a servicea service
not a not a programprogram
or or a servicea service
Wraparound Wraparound ISIS . . . . . .
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
Categorical ApproachCategorical Approach
Assess ProblemsAssess Problems
Look at Services that are Look at Services that are Available…Available…
Plug Services into the FamilyPlug Services into the Family
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
Examples of a Categorical Examples of a Categorical ApproachApproach
Services reflect what’s available Services reflect what’s available and has been tried rather than and has been tried rather than what’s really neededwhat’s really needed
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
CommunityBased
Strengths
TechnologyCluster
TechnologyCluster
UnconditionalCare
Normalization
CulturalCompetency
Collaboration
NeedsDriven
Refinancing
Family Centered
SystemIntegration
Wraparound: A Cluster of Wraparound: A Cluster of Technologies Tied to Core ValuesTechnologies Tied to Core Values
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
Steps for Developing an Steps for Developing an Individualized PlanIndividualized Plan
Step 1:Step 1: Getting to Know the FamilyGetting to Know the Family Step 2:Step 2: Start Meeting with StrengthsStart Meeting with Strengths Step 3:Step 3: Family Identifies VisionFamily Identifies Vision Step 4:Step 4: Team Identifies NeedsTeam Identifies Needs Step 5:Step 5: Prioritize NeedsPrioritize Needs Step 6:Step 6: Action PlanningAction Planning Step 7:Step 7: CommitmentsCommitments Step 8:Step 8: EvaluationEvaluation Step 9:Step 9: DocumentationDocumentation Step 10:Step 10: Crisis PlanningCrisis Planning
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
Social/Fun Mental Health Family A Place to
Live School/Work Cultural
Spiritual Safety Legal Medical/Health Finances Relationships Other
Life Domain Areas for Life Domain Areas for PlanningPlanning
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
Challenges to Best PracticeChallenges to Best Practice
Encouraging & sustaining creativity in Encouraging & sustaining creativity in staff generated solutionsstaff generated solutions
Integrating Wraparound values with Integrating Wraparound values with mandatesmandates
Evaluating current program practices Evaluating current program practices against the values baseagainst the values base
Giving up own turf in order to meet Giving up own turf in order to meet needs of familiesneeds of families
Ensuring line staff have skills which Ensuring line staff have skills which match values basematch values base
All staff committed to Value BaseAll staff committed to Value Base
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
Issues of Fidelity to the ModelIssues of Fidelity to the Model
Current Service Driven PracticeCurrent Service Driven Practice Standard QA/QI MeasuresStandard QA/QI Measures Local Community Buy InLocal Community Buy In Partnership Challenges and Partnership Challenges and
FragmentationFragmentation Leadership and Lack of Leadership and Lack of
Commitment to True ChangeCommitment to True Change
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
Committing to ChangeCommitting to Change
Assure consumer access to care Assure consumer access to care that isthat is• based on family choicebased on family choice• strength basedstrength based• culturally sensitiveculturally sensitive• enhances the quality of daily livingenhances the quality of daily living• provides families the right thing at the provides families the right thing at the
right time in the right wayright time in the right way
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
““Vision is the abilityVision is the ability
to see beyond to see beyond
the majority.”the majority.”
Charles R. SwindelCharles R. Swindel
““Vision is the abilityVision is the ability
to see beyond to see beyond
the majority.”the majority.”
Charles R. SwindelCharles R. Swindel
Mary Jo Meyers Mary Jo Meyers [email protected]@hotmail.com
For more information contact:
For WrapCT-Tim Marshall 860 550 6531 For Training, content and materials-Mary Jo Meyers, MS., 414 257 7521