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SB 163 WRAPAROUND WRAPAROUND

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Page 1: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

SB 163WRAPAROUNDWRAPAROUND

Page 2: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

Where we are and where we are going?

Status of Wrap in CaliforniaSuccesses notedChallenges notedWhat’s on the horizon?

Page 3: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

SB 163 Wraparound

SB 163 allows counties to provide service alternatives to eligible children in, or at risk of, group home care by using the State foster care maintenance payment to provide wraparound services.

Page 4: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

Overview Permits flexible use of State FC funds for Permits flexible use of State FC funds for

intensive individualized services so children intensive individualized services so children stay with/return to familiesstay with/return to families

All counties eligible to participateAll counties eligible to participate

Page 5: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

OverviewTarget Population:Target Population: Children placed/would be Children placed/would be placed in group home at RCL 10-14placed in group home at RCL 10-14

Plan: Plan: Counties submit plan consistent with Counties submit plan consistent with Wraparound StandardsWraparound Standards

Training: Training: All staff complete approved All staff complete approved Wraparound trainingWraparound training

SOC/FSP:SOC/FSP: Coordination with Children’s System Coordination with Children’s System of Care and Full Service Partnership plansof Care and Full Service Partnership plans

Page 6: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

FUNDING

NEWFUNDS

Page 7: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

Funding Flexibility Flexibility in using specific amount of State in using specific amount of State

FC funds and county match FC funds and county match

Specific number of Specific number of serviceservice allocation slotsallocation slots

Page 8: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

Service Allocation Slots

Amount of funds available to pay for Amount of funds available to pay for individualized intensive Wraparound package for individualized intensive Wraparound package for child/familychild/family

One Wrap slot may serve more than one child One Wrap slot may serve more than one child All Wrap slots pooledAll Wrap slots pooled Reimbursement rates = RCL rate minus cost of Reimbursement rates = RCL rate minus cost of

concurrent placementconcurrent placement

Page 9: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

* CFL No. 01/02-51 and Errata provides instructions for the claiming of the these costs.

FEDERALLY ELIGIBILE CHILDREN IN SB163 FEDERALLY ELIGIBILE CHILDREN IN SB163 WRAPAROUND AND CONCURRENT WRAPAROUND AND CONCURRENT

PLACEMENTPLACEMENT

Federally Eligible Child in Concurrent Placement Placement Costs = $1000IV-E 50% share = $500*

Remainder to be paid from SB 163 Flexible

Fund.

Wraparound Rate for Federally Eligible Child in SB 163

RCL 13 = $5,994Less FMAP of 50% = - 2,997

Dollars to SB 163 Flexible Fund = $2,997*

Page 10: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

Wraparound Standards

Program/PracticeProgram/Practice

Education, Training & Staff DevelopmentEducation, Training & Staff Development

Human ResourcesHuman Resources

FiscalFiscal

Evaluation & OutcomesEvaluation & Outcomes

AdministrationAdministration

Page 11: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

CALIFORNIA COUNTIES WITH

SB 163 WRAPAROUND SERVICES

1. Alameda 2. Butte3. Contra Costa4. Del Norte5. El Dorado6. Fresno7. Humboldt8. Kern9. Los Angeles10. Mendocino11. Mono12. Monterey13. Napa14. Orange15. Placer16. Plumas

17. Riverside18. Sacramento19. San Bernardino20. San Diego21. San Francisco22. San Joaquin23. San Louis Obispo24. San Mateo26. Santa Barbara27. Santa Clara26. Santa Cruz28. Shasta29. Siskiyou30. Solano31. Sutter32. Tehama33. Ventura

Page 12: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

Key Components in Wrap

•Child and family teamsChild and family teams

•Single plans for multiple systemsSingle plans for multiple systems

•Strength-based point of service planningStrength-based point of service planning

•Cross system integrationCross system integration

•Incorporation of natural and informal resourcesIncorporation of natural and informal resources

•Unconditional careUnconditional care

Page 13: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

Key Values in Wraparound

Strengths BasedStrengths BasedFamily CenteredFamily Centered

Needs DrivenNeeds Driven

Consumer DrivenConsumer DrivenAccessibleAccessible

Cost EffectiveCost Effective

CollaborativeCollaborative

AccountableAccountable

Outcome BasedOutcome Based

Team BasedTeam Based

ComprehensiveComprehensive

Culturally RelevantCulturally Relevant

Community BasedCommunity Based

Unconditional CareUnconditional Care

IndividualizedIndividualized

FlexibleFlexiblePromoting IndependencePromoting Independence

Page 14: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

Defining WrapAroundDefining WrapAroundThree Levels of DefinitionThree Levels of Definition

Prac

tice

Prac

tice Program

Program

SystemSystem

Page 15: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

Defining WraparoundPractice Implications

Strengths/assets from first conversationStrengths/assets from first conversation Blending of formal & informal resources in Blending of formal & informal resources in

planning & decision makingplanning & decision making Targeted activities designed to meet needs Targeted activities designed to meet needs

spoken by familyspoken by family Flexing existing service categories & delivery Flexing existing service categories & delivery

based on spoken needsbased on spoken needs Assure consumer voice, choice & preference Assure consumer voice, choice & preference Care in context of families & home Care in context of families & home

communitiescommunities

Page 16: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

Defining WraparoundProgram Implications

““No reject no eject” contracts or practice No reject no eject” contracts or practice Flexible service delivery which builds on Flexible service delivery which builds on

family system & community resourcesfamily system & community resources Maximizing informal resourcesMaximizing informal resources Values base in terms of results for familiesValues base in terms of results for families Changing staff roles to assure that Changing staff roles to assure that

comprehensive focus of care is metcomprehensive focus of care is met Partnerships with consumers in planning, Partnerships with consumers in planning,

developing & delivering responsedeveloping & delivering response

Page 17: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

Defining WraparoundSystem Implications

Integration across systems to assure flexible Integration across systems to assure flexible response through every doorresponse through every door

Building accessible resource poolsBuilding accessible resource pools Maximizing opportunities for partnershipsMaximizing opportunities for partnerships Point of service contractingPoint of service contracting System decision making in context of careSystem decision making in context of care Sanctioning individual family teams as full Sanctioning individual family teams as full

decision makersdecision makers Building a strength focus in monitoring Building a strength focus in monitoring

activitiesactivities

Page 18: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

Mental Health Services Act

People have things to do which are important to them, including things such as employment, vocational training, education, and social and community activities.

People are able to have safe and adequate housing, children are safe living with their families and there are fewer numbers of people who have no place to live.

People have family and friends to help them and to be with them and provide support for them.

People can get the help they need when and where they need it.

There are fewer adults in the jails and young people in juvenile halls who have serious mental health problems.

Most mental health services and supports are voluntary, where the person chooses the services and supports they want. There are less “involuntary services” which are services such as having to be in a hospital or a locked institution, or children having to live in a place which is not their own home or with their own family.

The outcomes that the California Department of Mental Health wants to achieve as a result of the MHSA.

Source: A Readers Guide to Mental Health Services Act Community Services and Supports Three-Year Program and Expenditure Plan Requirements

Page 19: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

Key Structure Options for Supporting

Wraparound Community teamCommunity team Administering agencyAdministering agency Lead agenciesLead agencies Service coordinatorsService coordinators Child and family teamsChild and family teams Specialized providersSpecialized providers Informal community supportsInformal community supports

Page 20: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

Board of SupervisorsBoard of Supervisors

Community TeamCommunity Team

Wraparound Support Structure

Inverting the structureInverting the structure All levels support familiesAll levels support families Connections between Connections between

families, program & families, program & communitycommunity

Building a new agency Building a new agency & system culture& system culture

SystemsSystems

Agency Management TeamAgency Management Team

Child & Family Teams Child & Family Teams

FamiliesFamilies

Page 21: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

Community Team Composition

Systems RepresentativesSystems Representatives ParentsParents Cultural leadersCultural leaders Business leadersBusiness leaders ClergyClergy Family membersFamily members YouthYouth OtherOther

Page 22: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

Children in Wraparound

In, or at risk of, high-level Group Home Placement and:– Wards of the Court (W&I 602)– Dependents of the Court (W&I 300)– Certified eligible for Mental Health

services (AB3632, 27.6, etc.)– Have been adopted and are eligible for

the Adoption Assistance Program (AAP).

Page 23: SB 163 WRAPAROUND. Where we are and where we are going? Status of Wrap in California Successes noted Challenges noted What’s on the horizon?

Questions & Contacts

[email protected] [email protected]

[email protected]


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