the kids oneida return home early project: keeping families together...
TRANSCRIPT
The Kids Oneida Return Home Early Project: Keeping Families Together March 5, 2013
2 The Return Home Early Team
Steven Bulger
Director of Operations 315-731-2603
Steven Yaworski Residential Outreach Coordinator
315-404-4826 [email protected]
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.
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
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.
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
7 Treatment Cost Profile
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
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
12 Putting it all together to return a child home early
RHE Cases In Motion:
Josh N Justin M
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)
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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