Minutes from Meetings: ICG Continuum of Care Workgroup

 11/25/13 Meeting

Submitted by: Marc Fagan, Psy.D.
 

Rule Committee update- Judy reported (please see posted notes for more detail)

  1. Got the initial statute of what was originally funded for ICG
  2. Importance of including system of care principles
  3. This committee and Rule Revision will continue to work closely together as a natural fit
     

Discussion of what is covered in ICG Community

  1. Currently, services consist of what is covered by Rule 132, and ICG funds cover what else might be needed-these can include some special time limited therapies, or other supports such as YMCA membership or recreational activities.
  2. Service array and robustness depends on where the youth/family lives
  3. Providers have had some billing issues when families don't have Medicaid. ICG is supposed to cover the Rule 132 services, it has not been easy.
    1. This should go to the Finance Committee's agenda.

 
Brainstorm

  1. Most families invest the time, $, and energy into an ICG grant because there is often a crisis where they feel youth may need residential care. Parents may not always opt for that once approved.
  2. Discussion around who makes these decisions
  3. Discussion of having a uniform assessment to determine level of care across ICG but also other similar service providers
  4. This functional assessment tool can be used to track need across the continuum of services
  5. Is there a way to have youth screened before they even enter ICG to see what service provider might best fit
  6. When it comes to residential, DCFS, DJJ, DASA, ISBE, DD all have avenues as well


  • Other discussion around having a child and family team determining the supports needed for youth. 
  1. Many families don't understand what the options are, we will want to work with the Outreach Committee to discuss ways of informing families and service providers of the array of options and how to get access and/or qualify

Overall, we want to change the way we think of ICG in many ways, including:

  1. Instead of levels of care, a continuum of services,
  2. Instead of a program, a set of services
  3. In this context we want to find a way to have a more fluid system that will include community supports, through residential, and into the transition to adulthood 
    1. knowing that youth treatment is not linear, the system should respond to the ebbs and flows of that need
    2. example would be residential programs allowed to slowly allow youth to access more of their community outside of the residential placement as they get closer to transitioning back.
  4. We discussed options such as short term respite care (with treatment), in home therapies, transitional living programs, and outreach all as options that might add to the overall system of care, rather than just residential and community.
  5. Dee Ann Ryan shared a great link that can help us understand how we might be able to adapt some of the wraparound philosophies of funding and continuum of care to utilize in our continuum:

    http://www.lehighcounty.org/Portals/0/PDF/HS/HC/Prog%20Stnds%20Req%20Appdx.TB_2_.pdf

  6. Dr. Mehlinger identified that the federal government had completed research and made recommendations about the treatment services that youth need to be successful in their community (the second link is trauma specific):
    http://medicaid.gov/Federal-Policy-Guidance/Downloads/CIB-05-07-2013.pdf 
    http://medicaid.gov/Federal-Policy-Guidance/Downloads/SMD-13-07-11.pdf

 We suggested that our work be structured within the context of these areas:

  1. When someone comes in the front door, how do we determine the service array a family might get?
  2. How will the need for residential fit into that continuum?
  3. What are the essential elements/criteria/decision makers for returning from residential to community?
  4. What are the specialized needs of young adults as they transition from ICG supports (anywhere in the service continuum)?

Next Meeting

Want representation from DD, DCFS, ISBE, and MH/JJ to discuss their array of services, including residential. This will help us gain ideas for further continuum of care

We will then discuss the ingredients that we need to consider for the 4 areas above, and discuss how we will divide out the work.

Next Meetings:Friday Dec. 13, 10-Noon