Children's System of Care Initiative - Power Point Slide Show

DEPARTMENT OF HUMAN SERVICES
Children's System of Care Initiative

Gwendolyn L. Harris, Commissioner

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Children's System of Care Initiative, NJ Dept. of Human Services

A major reform initiative was launched in 2000 that restructures the system for delivering services to children with emotional and behavioral disturbances and their families.

This groundbreaking Children’s System of Care Initiative is a complex plan with a simple mission: to create happier endings for New Jersey’s most troubled children.

The Children's System of Care Initiative, commits to an increase in spending in treatment for children with emotional and behavioral disturbanceschute de cheveux.

Focus:

Children and adolescents with emotional and behavioral disturbances and their families across child-serving systems.

Not a child welfare initiative.
Not a mental health initiative
Not a Medicaid initiative.
Not a juvenile justice initiative.

An initiative which crosses systems based on the needs of the child & family.

The Problem:

	Children and their families often don’t get services they need when and where they need them.
	Services are driven by what “door” is entered -- Division of Youth and Family Services (DYFS), Mental Health, Criminal Justice -- rather than by what is needed.
	No single entity is responsible for coordinating care.

The fundamental elements of reform.

	Increase funding
	Provide a broader array services
	Organize and manage services
	Provide care that is based on core values
	Individual Service Planning
	Family/Professional Partnership
	Culturally Competent Services cigarette electronique france

The Issue:

Not enough funding for services.
System is not child-centered or family friendly.

The Approach:

Increase state and federal funding.

	Funding increased from $51.4 million in Fiscal Year 2001 to an appropriation of $143 million in Fiscal Year 2003.
	Pool resources from DYFS, Mental Health and Medicaid and increase Federal funding.

The Issue:

Not enough community-based care.

The Approach:

Expand array of formal and informal services.

	Assessment (Screening, Evaluation & Diagnostic Services)
	Mobile Response and Stabilization Service
	Out-of-Home Crisis Stabilization Services
	Acute Inpatient Hospital Services
	Residential Treatment Center Care
	Group Home Care
	Treatment Homes/Therapeutic Foster Care
	Intensive Face-to-Face Care Management
	Outpatient Treatment
	Partial Care
	Intensive In-Home Services
	Behavioral Assistance
	Wraparound Services
	Family Support

The Issue:

Services are not managed, there is inadequate collaboration and coordination among child-serving systems.

The Approach:

Organize and manage resources more effectively.

Common screening and assessment.

	Develop common screening and assessment protocols that can be used across various child-serving agencies
	Uniform screening and assessments will provide a foundation for individualized service plan

Contracted System Administrator

Create a single management entity at the state level, called a Contracted Systems Administrator (CSA), to coordinate, authorize and track care for all children entering the system.

Care Management Organizations (CMOs)

	Create care management organizations (CMOs) at the local level to care manage children with intensive and complicated service needs.
	Give CMOs authority and responsibility to coordinate services through a network of providers.
	CMO is a separate entity whose sole business is to provide case management and create a system of home and community