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The Kids Oneida Return Home Early Project: Keeping Families Together March 5, 2013
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2 The Return Home Early Team
Steven Bulger
Director of Operations 315-731-2603
Steven Yaworski Residential Outreach Coordinator
315-404-4826 [email protected]
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3 What is Kids Oneida?
KO is the first certified children’s ACT model in NYS that combines a Medicaid case rate with Oneida County DSS Prevention funding.
Functions similar to a Managed Care entity with a financial risk (placement cost).
Originally targeted to address the increased number of children in Out of Home Care. Mid- 90’s Oneida County had approximately 400 children in Group Home and Residential Care.
Kids Oneida now operates 8 programs which served nearly 800 of the most at risk families in Central Upstate New York.
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4 History of Kids Oneida
In 1996, awarded a $75K Robert Wood Johnson Grant to be used as seed money to start the program.
Developed as a 501-c-3 Not for Profit Organization in 1997 due to the strong advocacy of Oneida County Commissioner’s of Social Services and Mental Health as well as NYSOMH.
1998 KO emerged as a Article 31 Mental Health
clinic (Parts 587/588) with multiple waivers. Blended funding from Oneida County DSS and Medicaid began.
2012 named the first Children’s ACT model in
NYS
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5 Key Features of Kids Oneida
Wraparound Philosophy of Care
Community Based
Individualized Services
Family Empowerment
Flexibility
Traditional and Non traditional Services
Continuity of Care
Outcomes
A value based, program which is in the business of
purchasing outcomes, not services.
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6 Kids Oneida Reviews and Recognition Mount Sinai & Northwestern University reviews in 2002.
October 2002 Excellence in Service Award from
NYS OMH Commissioner James Stone.
Recognized in 2005 as a “High Performing Wraparound Program” at the Florida Institute of Mental Health Conference.
2008 Families Together – Family and Community Achievement Award (Outstanding Program).
Nominated for the MV Chamber of Commerce Business of the Year 4 times- 2012 Chamber Nonprofit of the Year 50+ Employees
2011 Building Bridges Initiative- 13 programs nationally recognized for fiscal strategies that support the BB initiative
2012 White House Council for Community Solutions
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7 Treatment Cost Profile
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Return Home Early Project Despite abundance of services placements were still high Children were placed for a set period of time
Children were placed up to 5 hours away from home
Perceived Reasons for Increased Placements -A fragmented system -Ineffective SPOAs -Names on a caseload, lost stories -The forgotten ones Similar stories different faces
Kids Herkimer- June 2008
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10 Steven Yaworski- Residential Outreach Coordinator
What does placement look like?
Child’s perspective Family’s perspective
Agency perspective
County perspective
Kids Oneida’s perspective
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11 RHE Successful Ingredients Data Gathering and recording on Client Tracker
Child Readiness Assessment
Face to Face interviews with children in care
Relationship building
-Children in Care at RTC/GH Levels -Families -County Case Managers -Agency professionals/representatives -Court affiliates (judges, law guardians, probation officers, etc.) -Community Based Providers
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12 Putting it all together to return a child home early
RHE Cases In Motion:
Josh N Justin M
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13 Outcomes
The stories are great but where is the staying power? RHE had to achieve financial results
Success against recidivism a consistent 90% (2012 100%) A reduction of placements by more than Half Improved outcomes for children and Families Reinvestment of Placement Dollars (Herkimer)
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14 Oneida County Placement Reductions
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Take Home Message
This system can be replicated… anywhere Strong foreword thinking leadership required
Strong advocates are a necessity The system must be challenged- future of RHE
Our children deserve better
A real way to fund innovative programming through reinvestment
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Contact Information Kids Oneida Inc. 310 Main Street Utica, NY 13501
www.kidsoneida.org
Steven Bulger Director of Operations
315-731-2603 [email protected]
Steven Yaworski
Residential Outreach Coordinator 315-404-4826
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