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- Wraparound Resources: Wraparound Tools for Facilitators – Click on title to Download PDF
The Needs Guide | Facilitation Microskills | Additional Wraparound Resources
- Wraparound Resources: Wraparound Tools for Facilitators – Click on title to Download PDF
- LEARN MORE ABOUT SYSTEM OF CARE IN OHIO HERE
We welcome you to check out our various trainings presented by the CABH COE/CIP. Click on the respective name for upcoming training schedules: UPCOMING TRAINING SCHEDULES from the CABHCOE CIP: CANS, IHBT, MRSS and Wraparound Care Coordination
OHIO CARE COORDINATION TRAINING and IMPLEMENTATION
Click here for Wraparound SOC Care Coordination Series
For those looking for resources, tools and strategies to increase family involvement within FCFC. initiatives, these resource pages provide an overview about involving Parents, Youth and other family members on councils. This framework can be helpful in thinking through your next step, anticipating and managing challenges as they arise and building an adaptive process for family involvement. As pages are completed, there follows multiple tabs that dive a little deeper into some of the implementation strategies you might pursue.
- Below are headers on which to click to download PDFs of the individual pages/topics.
Key Components of Authentic Participation
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Building Authentic Involvement on Councils
1. Overview 2.Resourcing 3.Evaluating 4.Adjusting 5.Collaborating 6.Transforming
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DBH, ODHE Announce $18 Million Scholarship and Internship Program to Strengthen Behavioral Health Workforce
(COLUMBUS, OH) — The Ohio Department of Behavioral Health (DBH) and the Ohio Department of Higher Education (ODHE) today announced the launch of a major new initiative designed to increase the number of licensed behavioral health professionals serving children, youth, and underserved communities across the state. The Ohio Behavioral Health Scholarship (OBHS) Program will provide $18 million in scholarships to support graduate students pursuing behavioral health degrees at Ohio colleges and universities.
“We are committed to building a strong workforce to address the mental health challenges Ohioans are facing,” said Ohio Governor Mike DeWine. “These scholarships are filling a critical need in behavioral healthcare and encouraging students to remain in the state to serve their fellow Ohioans in the most needed areas.”
The OBHS Program is a cornerstone of Ohio’s statewide effort to address critical workforce shortages in mental health and substance use treatment fields. The initiative aims to attract committed students who will remain in Ohio after graduation and serve in high‑need behavioral health settings.
“Ohio’s children, families, and communities deserve a robust behavioral health workforce equipped to meet growing needs,” said DBH Director Tia Marcel Moretti. “This investment ensures that students entering behavioral health professions can do so without the barrier of overwhelming debt, while strengthening the capacity of providers across our state.”
TWO NEW SAMHSA PUBLICATIONS ON YOUTH AND FAMILIES
Technical Assistance Coalition Policy Paper Series
Cross-System Collaboration to Support Children with Behavioral Health Needs and their Families
Children and youth with behavioral health needs and their families often are involved with multiple child-and family-serving systems, including child welfare and juvenile justice systems. These youth, many of whom are enrolled in or eligible for Medicaid, may experience or be at risk for out-of-home care. These settings might include restrictive environments, particularly when one or more systems designed to support children and families are unable to provide, coordinate, or maintain accessible services at the necessary intensity to address their behavioral health and service needs across the family unit.
State, territorial, tribal, and local behavioral health, Medicaid, and public health leaders need to understand their state’s systems to develop and support collaboration and efforts to help maximize positive development of children and youth. However, each state has a different structure and approach to financing and delivering services across public child-and family-serving systems. Further variations exist within systems, based on federal, state, and local laws and rules; how populations are defined; how access is structured; which financing strategies are used; the available service array for each population and geographic area; and whether there is a justice overlay that mandates certain restrictions on the child or youth.
Once leaders identify the children and youth with unmet behavioral health needs and the public child-and family-serving systems available in their states and communities, they will be better positioned to collaborate and implement strategies, including many that are already available to them, to improve access to high-quality, effective services and supports.
Download Full PDF
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SED in Children, Youth and Young Adults
Serious emotional disturbance (SED) in children, adolescents, and young adults is defined as a diagnosable mental, behavioral, or emotional disorder that substantially impairs a child’s functioning in family, school, or community contexts. SED is estimated to affect roughly 5 to 10 percent of youth in the United States, translating to approximately 5 to 7 million children and adolescents. SED crosses demographic and socioeconomic groups, with exposure to trauma, family history of mental illness, poverty, and access to supportive resources on par with needs contributing to some of the risk. Comorbidities such as substance use disorders, suicidality, and intellectual and developmental disabilities are prevalent and complicate diagnosis and service eligibility.
This paper provides an overview of SED, including the role of functional impairment in identifying youth with SED and the important developmental considerations. Best practices in assessment and treatment approaches are presented, including a discussion of the evidence-based service arrays needed to support youth with SED and the importance of long-term maintenance strategies and policy supports to sustain functioning gains. It includes briefs for various SED diagnostic categories, which outline the clinical presentation, prevalence, risk factors, comorbidities, treatments, and recommendations for state service systems.
Finally, the paper calls for policies that ensure access to services and integrate wellness and prevention strategies, such as exercise, mindfulness, and nutrition, as part of a holistic approach to youth mental health.
Host Patrick J. Kanary leads a discussion on IHBT Implementation, Sustainability Strategies and Success Stories, this Innovative Conversation focuses the successful implementation and sustainability of Intensive Home-Based Treatment (IHBT) with guests Carl Brass, Heather Caver, Jeff Spears, and Georgeanne Voros.
Intensive Home-Based Treatment (IHBT) is a mental health service designed to meet the needs of youth with serious emotional disturbances who are at risk of out-of-home placement or who are returning home from placement. The goal of IHBT is to provide the necessary mental health services and supports to enable youth to live in their homes in the least restrictive, most normative setting possible. Learn More | Visit IHBTOhio.org | Download and Read IHBT Powerpoint
Innovative Conversations Session 18 | Transformational Change across Juvenile Justice in Ohio
Leah Winsberg, youth advocate and former Senior Policy Attorney, joins host Patrick Kanary to reflect on her change of employment and discuss the Ohio Juvenile Justice Working Group’s recent recommendations for transformational change across Ohio’s state and local juvenile justice system, improving the systems serving justice-involved young people through direct legal assistance, policy reform, and community education.
WrapTools!
Developed for OhioRISE Care Coordinators by the Child and Adolescent Behavioral Health Center of Excellence. (CABHCOE) WrapTools! is a series of resource tools, forms, and examples of things that can be used by anyone implementing a Wraparound-based planning process with families.
VIDEO TRAINING SERIES OFFERED FOR OHIO’S WRAPAROUND SYSTEM OF CARE
This video series of the 13-part Wraparound Training provides in-depth overviews and instructionals involving the Wraparound System of Care and Ohio’s experience with the initiative. It is divided into subject segments, each followed by a review module.
Visit Video Index of Trainings Page HERE
The Wraparound process is a way to improve the lives of children with complex needs and their families. It is a team-based planning process used to develop plans of care that are individualized based on the strengths and culture of the children and their family. The plan is needs-driven rather than service-driven, although a plan may incorporate existing categorical services, if appropriate to meet the needs of the consumer.
Two Recent Podcasts Presented by the CIP | Spring and Summer 2024
Hosted by co-founder and first director of the Center for Innovative Practices (CIP) and presented by the CIP and the Child and Adolescent Behavioral Health Center of Excellence (CABH COE), the most recent spring and summer installments feature two newe promising practices to help youth and their families in need.
Session 16: Motivational Interviewing (MI): Effectiveness Across Multiple Populations and Systems | Session 17: The Role of Intensive Home Based Treatment (IHBT) in Ohio’s System of Care
Learn More and Listen to CIP Innovative Conversations series, click here
Ohio Healthy Transitions Project (OHTP) Helping Youth in Transition Toward Adulthood – (Click on image to enlarge.)
Ohio Healthy Transitions Project (OHTP) is a SAMHSA funded initiative to improve access to treatment and support services for youth and young adults ages 16-25 with a serious emotional disturbance (SED) or a serious mental illness (SMI). Through a five-year grant awarded to the Ohio Department of Mental Health and Addiction Services, OHTP is partnering with Wingspan Care Group, the nonprofit parent company of Bellefaire JCB, Applewood Centers Inc. and Lifeworks, to develop a culturally competent service continuum to bridge the gap between the youth and adult systems in Cuyahoga and Lorain counties.
- The Role of Care Management Entities in OhioRISE | By Patrick Kanary
Ohio has long worked to meet the serious and complex behavioral health needs of children, youth, and their families. Previous (and ongoing) efforts to move this work forward have included state and local system of care grants, Family and Children First initiatives[3], local intersystem collaborations, advocacy to fund multisystem youth[4], the state’s current multi-system youth custody relinquishment prevention program, and many other efforts. However, despite these achievements, there remain gaps to fill, access to achieve, and services to provide. Read Full Brief and Download PDF.
RESOURCE | Prevention Services and Systems of Care Key to Implementing OhioRISE
A new brief written by Center for Innovative Practices Founder and former director, Patrick Kanary, has been published by the Center for Community Solutions.
The brief, entitled Prevention Services and Systems of Care Key to Implementing OhioRISE, notes that Aetna, the OhioRISE vendor responsible for managing the services and supports in their contract with the Ohio Department of Medicaid, just completed a round of ‘Listening Sessions’ designed to hear from those individuals and organizations at the ground level of implementation.
Learn More about OhioRISE Here | Download a PDF Overview Here | Download FAQs Here
Recommendations of the Ohio Children’s Behavioral Health Prevention Network Stakeholder Group | Final Report February 2022
Every child deserves to feel safe — to enjoy being a kid, to not worry about where they’re going to sleep that night or where their next meal is coming from. Tragically, too many kids in Ohio experience great hardships that impact every aspect of their young lives.
Download PDF of Recommendations
Ohio ranks 13th highest in the nation for the percent of children who have been exposed to two or more adverse childhood experiences, known as ACES. These experiences often can have a negative effect on a child’s health and well-being throughout their lives.
From the Ohio Governor’s Children’s Initiative | Healthy Families Handbook
In 2020, a total of 1,652 suspected cases of neonatal abstinence syndrome (NAS) were reported to the Ohio Department of Health. That’s 1,652 babies who were born with drugs — most often opioids — in their system causing them to go through withdrawal in their first days of life. An unborn baby’s exposure to drugs may lead to long-term health and development problems, including hearing and vision problems, as well as
difficulties with learning and behavior.
Download 27-Page PDF of Handbook
RESOURCE | Using Data to Improve Child and Adolescent Mental Health (CAMH)
The Child Development Studies team within the National Center on Birth Defects and Developmental Disabilities at the Centers for Disease Control and Prevention (CDC) collaborated with the Public Health Informatics Institute (PHII) to create this playbook as a resource for state, territorial, local, and tribal (STLT) health departments to assess and improve child and adolescent mental health (CAMH). Visit Site to Learn More
RESOURCE | Integrating Early Childhood Mental Health Policy to Grow Healthy Kids & Families in Ohio
Groundwork is developing and operating a “center of excellence” for Maternal and Young Child Health to build the capacity of Groundwork Ohio and our external partners to match the needs of communities across the state in this policy space. The mission of the Center is to prepare Ohio for a better future by building and transforming systems that improve maternal and young child health, promote health equity, and prioritize prevention through policy development, research and collaboration so that all Ohio mothers and young children thrive. Download PDF
WRAPAROUND TOOL | Wraparound Fidelity Index (WFI-EZ) Short Form Index
The WFI-EZ is a self-report measure that assesses the degree to which Wraparound care coordination is implemented with adherence to its principles and practice model. The measure also includes items related to satisfaction with Wraparound and basic youth outcomes. The WFI-EZ can be administered via interview or as self-report and can be completed in about 5 to 10 minutes. There are 4 versions of the measure, one for each of the following types of respondents: Caregiver, Youth, Care Coordinator, and Other Team Member. Download Three-Page PDF Here
RESOURCE | Crisis Services White Paper Report from OhioMHAS
Across Ohio, people of all ages and their families are seeking care in record numbers for substance use disorder and mental health concerns. Frequently, these Ohioans are exhibiting severe symptoms, such as psychosis, suicidal ideation, agitation, aggression, and/ or are exhibiting symptoms of substance withdrawal or the toxic effects of substance misuse or abuse. In many communities, people rely on emergency departments that may lack the behavioral health resources to adequately assess, stabilize, and connect people to community services and supports. The person in crisis may be arrested and jailed without access to the appropriate care. Jail is not the right place for people living with mental illness and their presence there creates difficulties for jail staff. Download PDF of Report Here
Systems of Care (SOC) Provides Context of Background and Future Prospects
The system of care (SOC) approach was first introduced in the mid-1980s to address welldocumented problems in mental health systems for children and youth with serious emotional disturbances (SEDs) and their families (Stroul & Friedman, 1986). These problems include significant unmet needs for mental health care; overuse of excessively restrictive setting; limited home- and community-based service options; lack of cross-agency coordination; and a lack of partnerships with families and youth.
The vision is to offer a comprehensive array of community-based services and supports that would be coordinated across systems; individualized; delivered in the appropriate, least restrictive setting; culturally competent; and based on full partnerships with families and young people (Stroul, 2002).
Read Article | Listen to Beth Stroul on CIP Podcast Evolution of System of Care Approach
RESOURCE | Custody Relinquishment Revisited
Custody relinquishment for mental health services refers to situations in which parents transfer legal and physical custody of their child to the state in order to access services that the child could not obtain otherwise. In these cases, no maltreatment (abuse or neglect) is alleged; rather, parents agree to give up custody of their children in order to receive mental health services, often residential interventions. Download Executive Summary PDF
Crisis Text Line
The Crisis Text Line provides Ohioans with a state-specific keyword to access its free, confidential service available 24/7 via text on mobile devices. Text the keyword “4hope” to 741 741 to be connected to a person trained to help. | Learn More |
The Wraparound process is a 
way to improve the lives of children with complex needs and their families. It is not a program or a type of service, but a team based planning process used to develop plans of care that are individualized based on the strengths and culture of the children and their family. The plan is needs-driven rather than service-driven, although a plan may incorporate existing categorical services, if appropriate to meet the needs of the consumer.
For more original CIP features and resources from partner sources, click here
- WraparoundOhio.org is presented by The Center for Innovative Practices (CIP)
and the Child and Adolescent Behavioral Health Center of Excellence (CABH COE)
Part of the Begun Center for Violence Prevention
at Case Western Reserve University’s Mandel School of Applied Social Services
Campus Location: 11235 Bellflower Road Room 375 | Cleveland, OH 44106
Mailing Address: 10900 Euclid Avenue | Cleveland, OH 44106-7164
Telephone: 216-368-6293 | email: alj103@case.edu
© 2018 Center for Innovative Practices, Cleveland, Ohio 44106
