OVERVIEW OF KATIE A. SETTLEMENT

WHO IS KATIE A? 2002-14 year old Caucasian female Placed in foster care at age 4 Mental health assessment at age 5 37 different placements including 4

group homes; 19 stays in psychiatric facilities; 7 stays in shelter care

BACKGROUND Lawsuit filed 2002 against CA Social

Services and Health Departments as well as Los Angeles county Settled statewide Dec. 2011

ISSUES: Failure to assess mental health needs Inadequate mental health services Poor foster care placements-overuse of

congregate and shelter care

KEY THEMES Shared needs of children and families-

shared practice and responsibility Coordinated Comprehensive Community based services- intensive

care coordination and intensive home based mental health services; therapeutic foster care

WHO IS IMPACTED?KATIE A SUB-CLASS DEFINED

In foster care or who are at imminent risk of foster care placement by DCFS; being considered for Wraparound, TBS, inpatient, level 10 and above group home

Eligible for services under the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) program

WHO IS IMPACTED continuedHave a mental disorder Require individualized mental health

treatment

IMPLEMENTATION California developed a Core Practice

Model Guide for counties, providers, families and youth

California developed a Medi-Cal Manual for Intensive Care Coordination, Intensive Home Based Services, and Therapeutic Foster Care for the Katie A Subclass Members

IMPLEMENTATION Every county was asked to complete a

readiness self assessment and a service delivery plan and submit them by May 15, 2013

LOCAL IMPLEMENTATION DSS and DBH to continue implementation planning:

Continue to design service delivery model, operational needs and resources

Review of data systems for Child Welfare and Mental Health

Local training needs around the Core Practice Model and fiscal requirements

Participation in State-sponsored trainings and meetings

NEXT STEPS Continue sharing knowledge and ideas

for improving system Identity training, facilitation, and

technical assistance needs