Welcome to Wraparound Ohio

1. NEW Resources: Wraparound Tools for Facilitators – Click on title to Download PDF
  The Needs Guide | Facilitation Microskills | Additional Wraparound Resources

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

THIS TUESDAY NATIONAL ONLINE TRAINING | Improving Child and Youth Mental Health: Driving Factors and Root Causes
Tuesday, December 5 | 11:00 AM – 12:30 PM ET

REGISTER HERE

The United States in recent years has seen an unprecedented increase in mental health problems for children and youth. According to the U.S. Department of Health and Human Services, 1 in 5 U.S. children ages 3–17 has a mental, emotional, behavioral, or developmental disorder. Last year, the Surgeon General issued an advisory on the youth mental health crisis, calling it the “crisis of our time.” Given the continued urgency of this issue, the 2023 webinar series for the Hauser Policy Impact Fund continues with its focus on children and youth mental health.

Drawing on the work of the Board on Children, Youth, and Families, the second webinar will highlight the report, Addressing the Long-Term Effects of the COVID-19 Pandemic on Children and Families (2023). This webinar will focus on the driving factors that contribute to the children and youth mental health crisis, including disparities and inequities in the mental health system.

Learn more about training here.

Innovative Conversations | Implementation within Systems of Care for Youth and Families
Ohio has just completed year one of implementing a very significant change in the Medicaid program for children, youth and families, called OhioRISE.  Besides the structural changes, such as the creation of Care Management Entities (CME) the program supports the implementation of evidence based/informed practices applicable to multi -system involved youth with behavioral health needs, and their families. Patrick Kanary hosts a discussion on OhioRISE, Ohio’s System of Care implementation, and the challenges and lessons learned with with guests Allison Metz, Director of Implementation Practice at the School of Social Work at The University of North Carolina-Chapel Hill along and Suzanne Kerns, Director of Transformative Research at the Kempe Center and Professor at the University of Colorado-Anschutz.

Learn More and View Session Here

Learning Collaborative for Care Coordination Supervisors
“Troubleshooting Wraparound and Care Coordination Supervisor Learning Community”
Convening the third Monday of each month from 9:00-10:30 a.m. beginning 3/20/23

OhioRISE supervisors in practice model application and implementation within their organization and within the teams that they oversee. It is intended for OhioRISE Care Coordination Supervisors and/or Administrators. This Learning Community is designed for OhioRISE Care Coordination Supervisors and/or Administrators

Upcoming Session dates: August 21, 2023 – September 18, 2023

REGISTER for ONE OR ALL SESSIONS 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.

Who can be referred?
• Transition Age Youth 16-25 living in Cuyahoga and Lorain counties with SED, SMI, or co-occurring mental health and intellectual developmental disabilities What will OHTP provide?
• A new way forward for youth to experience uninterrupted, seamless services, achieve positive outcomes, and be set on healthy life trajectories
• Access to a continuum of life skills training – vocational, educational and socialemotional wellness – to enable youth to become healthy, productive adults
• Comprehensive Toolkit and Handbook informed by best practices for providers and
referral sources to guide individualized case management and treatment
Learn More and Download Youth Referral Form
Mobile Response Stabilization Service Tool Kit and Resource Guide – Version 1.0 Click Here
Innovative Conversations | Child, Youth and Family Behavioral Health: Workforce Challenges
Patrick Kanary, founding director of the Center for Innovative Practices (CIP) and host of the CIP’s Innovative Conversations series, conducts a discussion on the Workforce Challenges currently facing the fields of Child, Youth, and Family Behavioral Health Care with Teresa Lampl, Executive Director of the Ohio Council of Behavioral Health and Family Service Providers and Mark Mecum, Executive Director of the Ohio Children’s Alliance.
This session discusses recent articles involving the crisis in child mental health staffing throughout the United States and examines key findings from our guests’ respective recent reports. It also places local concerns within the national perspective and unpacks recent findings about, not only the crisis in child mental health care staffing, but also the challenges of retention of care givers in the current climate of need and burnout. Other areas covered include the Ohio leadership response to this: policy-wise, clinically, and financially as well as examples of strategies that community members are taking that seem to be getting some traction, both short-term and long-term, including the nascent rise of Telehealth, its current status, and how it developed further during the pandemic with implications for increased implementation.
Learn More and Listen to or View Session.

RECENTLY RELEASED | The Role of Care Management Entities in OhioRISE
A new brief written by Center for Innovative Practices Founder and former director, Patrick Kanary and published by the Center for Community Solutions.
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. OhioRISE enters this landscape with the tools and resources to move the system to the next level, including a new waiver to prevent custody relinquishment in order to access services.
Read Full Brief and Download PDF.
Innovative Conversations | Equity and Inclusion: Core Values for Our System of Care
Patrick Kanary, founding director of the Center for Innovative Practices (CIP) and host of the CIP’s Innovative Conversations series, welcomes new CIP SOC Equity & Inclusion Coordinator, Kynetta Sugar McFarlane, PsyD, and current CIP Co-Director, Bobbi Beale, PsyD to discuss the new CIP Equity and Inclusion training series, the various levels of cultural awareness addressed, the long-lasting healing of youth and families that can result. In addition to creating and facilitating a monthy Equity & Inclusion Learning Community, Dr. McFarlane has also presented training series on: Understanding the Culture of Poverty; Trauma-Informed Family Engagement: Understanding Implicit Bias & Structural Racism; Affirmative Care to Genderqueer Youth & Families; and Equity in Behavioral Health for All Youth & Families in Ohio. Listen to or View Session

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 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.

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.

Read brief and Learn More

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. A full report on the sessions will be published shortly, but there are interesting findings from those sessions.

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 wellbeing throughout their lives.

In late 2019, Governor DeWine signed House Bill 12, which created the Children’s Behavioral Health Prevention Network Group. This legislation was made possible because of Representative Thomas West and the late Representative Don Manning, who were strong advocates. Members were tasked with coordinating and planning a comprehensive learning network that will support young children in their social, emotional, and behavioral development and reduce behavioral health disparities.

The Director of Children’s Initiatives is charged with determining the scope, implementation, and details of the Stakeholder Groups work, and must coordinate the efforts of its members. Under the Director’s leadership, the act requires the Group to implement the requirements on the following page.

From the Ohio Governor’s Children’s Initiative | Healthy Families Handbook: Resources for Building a Collaborative Family Support Plan
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

The purpose of this handbook is to assist all community partners with understanding implementation of the Comprehensive Addiction and Recovery Act (CARA) specifically plans of safe care (POSC). It was created to assist those professionals responsible for developing plans of safe care, Public Children Services Agencies (PCSA) and community partners.

This handbook is the result of the hard work and dedication of the Practice and Policy Academy team, which came together because of a technical assistance grant from the Center for Children and Family Futures.

NEW RESOURCE | Using Data to Improve Child and Adolescent Mental Health (CAMH): The Opening Playbook
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

To this end, the playbook highlights the rationale for public health engagement in CAMH, suggests ways that health departments can form partnerships to assess and improve CAMH, and proposes three indicators – data that schools generally have available or can make available, such as attendance, disciplinary actions, and school readiness – that can be used to begin assessing CAMH at the population-level. The playbook also includes information and resources related to legal considerations, terminologies, and data standards related to the collection and use of CAMH data.

NEW 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

All versions of the WFI-EZ include 25 items designed to assess Wraparound fidelity. Participants are asked to indicate the extent to which they agree that each indicator of Wraparound fidelity has been achieved. Each item is rated on a 5-point index ranging from “Strongly Disagree” to “Strongly Agree.” Fidelity items are organized by the five core elements of Wraparound as promoted by the National Wraparound Implementation Center (NWIC): 1) Outcomes-Based; 2) Team-Based; 3) Natural Supports; 4) Needs-Based; and 5) Strengthsand Family-Driven. WrapStat provides scores for each of these core elements along with a Total WFI-EZ score that reflects overall fidelity. Scores are computed as percentages and can range from 0 to 100.

NEW 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. Also, emergency departments may not have sufficient resources to provide an adequate response to a psychiatric behavioral health emergency, particularly when people experience prolonged wait times for an available psychiatric bed. In the community, when a person is in crisis and suffering a behavioral health condition or other problem that affects the person’s emotional well-being and safety, law enforcement is often called to respond. 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

The Ohio Department of Mental Health and Addiction (OhioMHAS) and its partners are working to develop a supported quality crisis response system to serve as a timely and appropriate alternative to arrest, incarceration, unnecessary hospitalization, or placement in a setting with insufficient resources to address the acute nature of the situation a person is experiencing.

New Article on Systems of Care (SOC) Provides Context of Background and Future Prospects
Describes the evolution of the SOC approach and presents further updates in the philosophy, infrastructure, services, and supports that comprise the SOC framework.
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). Among these problems were
significant unmet need for mental health care, overuse of excessively restrictive settings, limited
home- and community-based service options, lack of cross-agency coordination, and a lack of partnerships with families and youth. The vision was to offer a comprehensive array of communitybased 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). The SOC approach has provided a framework for reforming child and youth mental health systems nationwide and has been implemented and adapted across many states, communities, tribes, and territories with positive results.
– Authored by By Beth A. Stroul, MEd; Gary M. Blau, PhD; and Justine Larson, MD

Read Article | Listen to Beth Stroul on CIP Podcast Evolution of System of Care Approach

MENTAL HEALTH SERVICES RESOURCE | Custody Relinquishment Revisited
An Executive Summary from Beth Stroul and the Institute for Innovation and Implementation at the University of Maryland School of Social Work
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.

The Institute for Innovation and Implementation at the University of Maryland School of Social Work undertook a project to revisit the problem nationwide. The project involved an informational scan and telephone discussions with state child welfare and/or mental health agency representatives in all 50 states and three territories, as well as with leaders of family-run organizations (FROs) in 18 different states. The intent was to obtain up-to-date information about the extent to which custody relinquishment for this purpose continues, progress that has been achieved, and strategies used by states to eliminate the practice, as well as strategies to increase the availability of home- and community-based services and supports (HCBS) that might mitigate the need to relinquish custody. Highlights of the findings are summarized below.
Download Executive Summary PDF

Listen to Beth Stroul’s Innovative Conversation session with Patrick Kanary here

CIP’s Innovative Conversations Initiative
The Center for Innovative Practices (CIP), part of the Begun Center for Violence Prevention at the Mandel School of Applied Social Sciences at Case Western Reserve University, and in partnership with the Ohio Department of Mental Health and Addiction Services, has developed a new resource initiative entitled, Innovative Conversations, facilitated discussions with national experts in children’s behavioral health and systems of care Hosted by first CIP director Patrick Kanary, the series also examines how Wraparound Systems of Care can better facilitate how integrated treatment can help yield optimal outcomes with youth recovery.
Learn More and Listen to CIP Innovative Conversations series, click here

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.