wrapct presents: planning and managing transitions
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WrapCT Presents: PLANNING AND MANAGING TRANSITIONS. Transition Planning Best Practices:. Begins on day one Utilizes the family’s expertise in problem solving Is discussed and planned for at each plan of care meeting Requires exceptional crisis/safety planning - PowerPoint PPT PresentationTRANSCRIPT
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
WrapCT PRESENTS:
PLANNING AND MANAGING TRANSITIONS
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
TRANSITION PLANNING BEST PRACTICES:• Begins on day one• Utilizes the family’s expertise in problem solving• Is discussed and planned for at each plan of care
meeting• Requires exceptional crisis/safety planning• Utilizes the Wraparound process in a planful and
concise manner
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
TRANSITION PLANNING BEST PRACTICES CONT’• Instills hope for a better future• Utilizes a well balanced team consisting
mostly of natural/informal supports• Community resources and available supports
are explored well before ending• Success is celebrated soon and often• Empowers the Youth and Family to mobilize
their own team as needed
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
NECESSARY SKILLS FOR FACILITATORS• The ability to communicate and behave with
confidence and reassurance• Good planning and organizational skills• Encouragement and support are provided to the
family in a genuine manner• The ability to be introspective about who’s needs
are being met and who’s really having abandonment issues
• The ability to be understood and plan around underlying needs
• Outcome oriented
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
FAMILIES DESERVE TO KNOW THEY ARE TRANSITIONING
TO SOMETHING RATHER THAN AWAY FROM SOMETHING
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
TIPS FOR TRANSITION PLANNING• Negotiate transition with the full team• Allow Family voice to be heard about
transition• Plan for interventions to fade over time• Set clear transition benchmarks• Use life domains as a guide for system
exit
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
TIPS FOR TRANSITION PLANNING• Keep track of incremental progress – no
matter how small the increments• Let the family acquire its own sense of
agency and urgency• There will be set backs – look for the
learning opportunity• Celebrate transitions the family’s way
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
THE FOUR PHASES OF THE WRAPAROUND PROCESS – TRANSITION FOCUSED1. Engagement – Learning about the family’s
support system2. Planning – Bringing existing supports in and
deciding how to build new supports3. Implementation – Building bridges to the
community, enhancing or enlarging competency, creating opportunities for a better life
4. Transition – Help is in place. Team is mobilized to act when needed.
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
TEAMS & TRANSITION• Assumptions & Values
• People working together can generate more solutions• People working together can generate more creative
solutions• People/Families who are hurting deserve all of the
people in their lives to be on the same page• The best teams combine the expertise of the system
with the compassion of the family’s people• In order to have full participation of informal/natural
supports, system people will need to accommodate & invite
• Wraparound teams should be learning & doing groups
• Healing comes from acting together
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
CONNECTIONS AND SUPPORT MAP
Self
Friends Family
Community Work/School
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
FIRST PHASE OF WRAPAROUND:TEAM DEVELOPMENT• Meet with family & stakeholders• Get the story• Gather perspectives on strengths & needs• Assess for safety & rest• Provide or arranges stabilization response if safety
is compromised• Explain the Wraparound process• Identify, invites & orients Child & Family Team
members• Complete strengths summaries & inventories• Arrange initial Wraparound team planning meeting
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
SECOND PHASE: PLAN DEVELOPMENT• Hold an initial (or 2) Child & Family Team Plan Development
Meeting• Introduce process & team members• Present strengths & distribute strength summary• Solicit additional strength information from gathered group• Lead team in creating a mission/vision• Introduce needs statements & solicits additional
perspectives on needs from team• Create a way for team to prioritize those needs that will
accomplish mission/vision• Lead the team in generating brainstormed methods to
meet needs• Solicit or assigns volunteers• Document & distribute the plan to team members
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
RESPONSIVE CRISIS PLANS:• Tells team members how to react
immediately and responsively to the events at hand
• Are practical and realistic• Builds on functional strengths of the team
and community• Include as many natural and informal
supports as possible• Keeps everybody involved safe
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
PROACTIVE SAFETY PLANS:• Aim is to prevent crisis• Focuses on what to do instead of what not to
do• Is based on needs identified in the plan of
care• Works towards uncovering underlying needs
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
EFFECTIVE CRISIS/SAFETY PLANS:• Describe specifically the unsafe behavior• Analyze function (unmet need) of the unsafe
behaviors• Take the physical aspects of the setting into
account• Describe specifically safe alternative
behaviors• New strategies reflect functional strengths,
culture and choices of those involved• Steps are specific and written in order of use,
least restrictive to most
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
HELPFUL HINTS:• Keep the plan focused• Include rules of household, school or
community• Discuss rewards and consequences for
safe vs. unsafe behavior• Consult with people who specialize in
needed area of concern• Watch and plan for regression during
stressful times
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
FAMILY VISION: A DEFINITION• Definition: The family’s vision represents
their goals, hopes & dreams for their own family
• What are the benefits of identifying a family vision?• It helps families recognize the legitimacy of
their own perspective & voice• It creates meaning & purpose for families • It helps professionals validate the right to
the family to have their own perspective• It helps professionals understand the
family’s sense of themselves beyond services & systems.
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
REMEMBER• Systems have no obligation to
accomplish a family vision. • Systems create joint goal or
mission statements with families but families have a right to “own” their vision even if professionals disagree.
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
STRENGTHS DISCOVERY• Look for functional. A list of
attributes does not allow you to plan
• Are the key to any transition• Lead to sustainable plans
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
NEEDS• Check first to see if the needs
identified when met will lead to the family’s vision
• Uncovering underlying needs leads to a more precise fit of strategies
• Families deserve to have their real concerns addressed
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
STRATEGIES
• Look to functional strengths first• Should be written in a
manner in which all team members know what their job is• Should be reviewed for
progress at least monthly
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
THIRD PHASE: MANAGING ONGOING PLAN OF CARE MEETINGS1. Accomplishments – Check with family first2. Assess progress – Check for needs met not
just services delivered3. Adjust the plan – Remember you are planning
for transition4. Assign new tasks – Use the team!
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
ESTABLISH YOUR ANCHORS• Anchors may be• Goals• Results• Outcomes
• Define what life would like if the identified need were met
• Allows you and the team to define the destination
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
TIPS FOR ESTABLISHING YOUR ANCHORS• Create a view
• Future view of a household• “Normalized” view of a typical situation
• Create easy “counts”• Avoid anything that makes too much work• Percentages work/impression counts
• Identify the frequency of summary• Weekly, monthly, at least quarterly
• Ask the team to review the “facts”• Summarize the details• Graphs or Charts
• Bring a summary to the meeting
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
TIPS FOR CREATING YOUR ANCHORS• Avoid the control and compliance view• Rather than he must go to school it should
be he will attend school because … • Keep teams from going off track
• Avoid over complicating• Limit your indicators to no more than five• Impressions count, ask the family to give
you a report• Use your outcomes to guide the team• Bring your summary, discuss it rather than
falling into the detail trap
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
FOURTH PHASE OF WRAPAROUND:PLAN COMPLETION & TRANSITION• Hold meetings
• Solicit all team members sense of progress• Chart sense of met need• Has team discuss what life would be like after
Wraparound• Review underlying context/conditions that brought
family to the system in the first place to determine if situation has changed
• Discuss the what if?• Facilitate approach of “post-system” Wraparound
resource people• Formalize structured follow-up if needed• Record accomplishments; what worked, didn’t work• Create a commencement ritual appropriate to family &
team
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
FOURTH PHASE OF WRAPAROUND:PLAN COMPLETION & TRANSITION• Completed Products
• Written Transition Plan that details how to access ongoing services/supports if necessary
• Written crisis plan that details who & how to contact individuals
• Follow up phone numbers for team members• Formal Discharge Plan detailing strengths &
interventions that were successful & those that weren’t
• Written letters of introduction for anticipated next formal service access
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
ELEMENTS OF GOOD TRANSITION WHEN COMPLETING THE FORMAL WRAPAROUND PROCESS• Families have some sense of what comes
next• Families have increased confidence in their
own abilities to make their own vision real• Families have a sense of connection to
various team and community members• Families know what to do if things go wrong• Families are able to chart & recognize their
sense of progress since the beginning of formal Wraparound
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
TRANSITION PORTFOLIO• Transition portfolio contains the plan including a
crisis/safety plan and all supporting documentation
• It has multiple purposes:• Help the family see what they have
accomplished• Remind the family of effective recovery
strategies they can use• Help other agencies down the line know what
worked, what didn’t and who to call• Help the family know who to call
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
EFFECTIVE TRANSITION PLANS• Begin early in the Wraparound Process• Build on what has been accomplished• Shift the balance of activity from the system to
the community• Assure needs and outcomes have been met• Answers the questions of what will it take for the
child to do well at home, in school and in the community
• Support rather than abandon the family
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
FOUR BAD REASONS FORTRANSITIONING OUT OF WRAPAROUND• Team is out of money• Team is out of ideas• Team is out of hope• Team is out of patience
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
TRANSITION:
CHALLENGES AND SOLUTIONS ACTIVITY
Learning CollaborativeWrapCT.org
Mary Jo Meyers-2011 [email protected]
WrapCTLEARNING COLLABORATIVE
Our vision as a statewide learning collaborative is that all children, youth, and families are able and capable of achieving optimal levels of
functioning at home, in the community, at school and/or work.
WrapCT Steering Team• Jan Bendall, Rushford; Ray Bieber, Child & Family Guidance; Tim
Bowles, SEMHSOC; Jill Coffin , U CF S; Dorothy Contrastano, FAVOR; Tim Cunningham, Wellpath; Paloma Dee, NAMI, CT; Nicole DeRobertis, MFCGC; Hal Gibber, FAVOR; Victor Gonzalez, Wheeler Clinic-Hrtfd; Gabrielle Hall, Clifford Beers; Mary Held, Waterbury FFP; Katy Keegan, West Haven – Bridges; Virginia Lopez, Child & Family Guidance; Tim Marshall, DCF; Tabor Napiello, Wheeler Clinic-Plainville; Kristen Penta, Bridgeport Schools; Mark Plourd, Wheeler Clinic-Hrtfd, Cheryl Tedesco, Child & Family Guidance; Paige Trevethan, Bridges; National Consultants: Verneesha Banks, Wraparound Milwaukee; Mark Horwitz, Westfield State Univ.; Mary Jo Meyers, Wraparound Milwaukee
Contact information for WrapCT: Tim Marshall 860-550-6531; [email protected]
Contact for training material: Mary Jo Meyers 414-251-7521; [email protected]