Voice of Choice: The Values & Philosophy

of Wraparound

Donna Bradbury, NYSOMHKristen Moses-Westphal, Orange County DMHBecky Johnson, Orange County DMHRachel Ludwig, Chautauqua County DMHDaphne Brown, FTNYS

NYS Office of Mental Health

• What’s the current environment in NYS children’s services?• Medicaid Managed Care design• Where does Wraparound factor in?

• Prevent unnecessary suffering• Keep kids on track developmentally• Reduce health care costs for adults

Importance of Meeting Children’s Mental Health Needs

• We wait too long to identify and treat kids

• Well intended, yet maladaptive responses

• All child-serving systems work extremely hard to help children with an emotional disturbance, but it is not enough…

Children and youth can only achieve their full potential if together we operate at ours.

Challenges in Helping Children

An opportunity presents itself…..

• Donna Bradbury, Associate Commissioner, Division Of Integrated Community Services For Children & Families, NYSOMH

• Lana I. Earle, Deputy Director, Division of Program Development and Management, Office of Health Insurance Programs, NYS DOH

• Steve Hanson, Associate Commissioner, NYS OASAS

• Laura Velez, Deputy Commissioner, Child Welfare & Community Services, NYS OCFS

Children’s Leadership Team

• Medicaid Redesign Team (MRT) Behavioral Health Workgroup• improvement in health outcomes• sustainable cost control• efficient administrative structure

Medicaid Redesign

• Children and youth younger than 21

• Children with Serious Emotional Disturbance (SED)

• Children in Foster Care who have SED, are Developmentally Disabled or Medically Fragile, or have experienced trauma

• Children who are physically disabled and require significant medical or technological health supports

• Youth with Substance Use Disorders

Design Target Populations

May 14, 2015

Children and their families receive the right services, at the right time, in the right

amount.

The GOAL is to…Get children back on their developmental trajectory:

• Identify needs early• Maintain the child at home with support and

services• Maintain the child in the community (least

restrictive) Focus on recovery and

building resilience!