ICG Continuum of Care Workgroup Minutes

Subcommittee on Out-Of-Home Options


* Updates with Rule Revision Committee

--Hearty discussions of Eligibility Criteria and Individual Service Plan definitions

--Discussions of what a team similar to a Child/Family Team might look like and who it would entail

--There was a request made for a 2 week extension because they were coming upon their deadline. Determination TBD

* Discussion of SASS role

--All SASS agencies have contractual responsibility to ICG families. ICG families will be connected with the SASS agency even when they don't have Medicaid. In many cases the local SASS agency may not be the MH agency that has been working with the family. We discussed that even though the ICG Coordination will come from the local SASS agency, the Child/Family team (including the ICG Coordinator) should assist the family in maintaining services through the agency that has been working well with them, rather than having to switch therapists or others to the SASS agency.

* Discussion of Out-Of-Home Options

Respite Care

--We discussed the variable terms and service provision that involves "respite"

--The group settled on "Temporary Placement" as the best definition for now. This would be for families who experience a crisis and need the young person out of the house in order to stabilize the crisis. The removal should be short term (a few days or perhaps a week).

--Discussion of a model done by CCBYS that would be worth looking at. Debbi Smith also sent info on a model done with Cunningham Children's Home. In this model, beds in the residential setting were used, and staff who were familiar with Cunningham, but hired by Debbi's team as on-call personnel who would provide the staffing for these cases.

--Ultimately the group drew some consensus to include "Temporary Placement" as an out-of-home option. This can be done either in residential beds, with temporary foster families, rented rooms, or in other locations. Providers who might be able to staff for this service would work with ICG on funding.

* Residential and Group Home

--Discussion that although the CBHII and other docs discuss short term residential, this group felt that this would be no different than residential as it stands, since the idea is that all residential should be shorter in nature. Some may be a few months, some may be longer and this would be handled by the Child & Family team. When a young person is in residential, the residential placement would still join with the Child & Family team to maintain continuity in goals and services.

* Transition Services

--Lots of discussion around the need to include this in ICG, and some transition services are already in the rule. Some providers discussed how the majority of their ICG youth are in the transition age. Discussion around how the need to provide this can reduce ongoing issues into adulthood

--Transitional Living Programs - was decided to include TLPs into the Out-Of-Home placement option. This would reduce residential costs with an aim at providing overall reduced costs to the state with less jail, hospital, and other critical interventions, while setting youth up for better outcomes into adulthood.

--The TLP option would be set up to help young adults establish their own living environment, gaining employment, starting on community based living goals, finishing high school and perhaps moving on to post-secondary school. There are effective models being used in DCFS, DJJ, and in the homeless arena.

--Transition services should be provided for ICG youth regardless of whether they are living out of the home or in ICG Community Services. There was some discussion around whether there should be some regional experts/liaisons to join the Child & Family team around transition, or whether we should train up the Coordinators to understand the transition based needs for young adults. This would need to be a recommendation for training committee.

--Consensus that transition services should continue for about 6 months beyond high school graduation. This group recommends this change to the Rules Committee. Discussed that transition plans should continue to start early, and should already be in place long before a young person graduates high school. However, transition services can help support young person moving on their own, starting in college, getting employment, and handing off to adult service providers seamlessly.

--Transition services should also include helping youth stay connected with their social and support network. Some of this should be done by allowing for social media outlets such as Skype, Face Time, Video-conferencing.

* Next Steps

--Start to establish Step up/Step Down/Maintain Criteria for the Out of Home Options of Temporary Placement, Residential, and Transitional Living

Next Meeting Tuesday January 21, 2014 at 3pm at the Child/Adolescent Annex

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