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