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
The Center for Innovative Practices (CIP) Announces New Partnership to Train Communities in Wraparound Services
The Center for Innovative Practices (CIP), part of the Begun Center for Violence Prevention Research and Education at Case Western Reserve University’s Jack, Joseph, and Morton Mandel School of Social Services, announces a new partnership as part of an Ohio state-wide initiative designed to help introduce and further train Ohio clinicians and caregivers to Wraparound systems of care services and how to implement them in their counties and communities to help youth in recovery and their families.
To help counties prepare for Ohio’s expansion of High Fidelity Wraparound, Ohio Family and Children First (OFCF) in collaboration with the Ohio Department of Job and Family Services (ODJFS) and the Ohio Department of Mental Health and Addiction Services (OHMHAS) are partnering with the CIP to offer a series of Wraparound trainings, learning communities, and capacity development planning meetings for interested
Innovative Conversations Session 12 | A National Overview of the Mobile Response Stabilization Services (MRSS)
Over the course of this year, with quarantines and distancing brought about from the Covid-19 pandemic, Mobile Response and Stabilization Services (MRSS) have come to the forefront in helping connect clinicians and caregivers with clients and their families, especially in times of acute need. Patrick Kanary, founding director of the Center for Innovative Practices (CIP) and host of the CIP’s Innovative Conversations series, takes a national look at the Mobile Response Stabilization Services (MRSS) initiative and how its working in Connecticut, Maryland, and Nevada via the experiences and perspectives, respectively, of Jeffrey Vanderploeg, Elizabeth Manley, and Christopher Morano.
Employing Young Adult Peer Providers | Video Two-Session Web Training|
Presented by the Ohio Department of Mental Health an Addiction Services (OhioMHAS)
At the end of September, the Ohio Department of Mental Health and Addiction Services (OhioMHAS) and RecoveryOhio presented a two-day, online conference entitled, “Employing Young Adult Peer Providers.” – Learn More about Peer Support
The Day One presenters included Lois Hochstetler, Assistant Director for Community Treatment Services with OhioMHAS; Jonathan Delman, JD, PhD, Technical Assistance Lead, Transitions to Adulthood Research & Training Center, Massachusetts Medical School and Dylan St. Germaine Clinical Research Assistant, Transitions to Adulthood Research & Training Center, Massachusetts Medical School; and Steve Osborne with an overview of How2Life, a youth-targeted mobile app demonstration.
For Day Two, there were opening remarks from Alisia Clark, Assistant Director for Community Planning & Collaboration, OhioMHAS followed by a Panel of Youth Peer Supporters featuring John Dellick, Young Adult Peer Supporter, Youth Move Ohio; Amanda Stoddard, Communications Director, Recovery Center of Hamilton County; Makayla Lang, Youth/Young Adult Coordinator, Wingspan Care Group; and Quanita McRoberts, State Youth Treatment Project Director, OhioMHAS. The conference concluded with presentations by providers who are Employers of Peer Supporters, Chris Pedoto, Executive Director, The Recovery Center of Hamilton County and Kathy Hooks, Director of Youth Employment & Engagement, Daybreak.
VIDEO TRAINING SERIES | Supporting Youth with Complex Needs
The Ohio Department of Developmental Disabilities (DODD), in partnership with Ohio Center for Autism and Low Incidence (OCALI), developed a 9 module training series to help increase the knowledge and skills for direct support professionals who are supporting youth with complex behavioral health needs.
- CLICK HERE to access training series.
The content of Module 1 includes five chapters and focuses on:
– Supporting Youth with Complex Needs
– Supporting the Needs of Families
– Preparing Direct Support Professionals
– Understanding Behavior, and
– The Rage Cycle
The remaining eight interactive and competency-based modules focus on The Ziggurat Model, Behavior and Communication, Trauma Informed Care, Reinforcement, Structure and Visual and Tactile Supports, Task Demands and Skills to Teach. The entire 9 module series can be accessed in the DODD learning management system. Anyone is welcome to set-up a profile and view the courses. Module 1 is available via YouTube so that anyone supporting youth across systems can easily access. We believe providers, families and others will benefit from all nine modules. – For questions, please contact Tina Evans at firstname.lastname@example.org.
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 herre
CULTURAL HUMILITY TRAINING | Working With Latinx Youth and Families and Recovery from Trauma
The Center for Innovative Practices presents a two-part discussion and training entitled, “Working With Latinx Youth and Families and Recovery from Trauma,” with Ramfis L. Marquez, PhD, LPC,, Gisela Diaz, MA, and Francisco J. Cornejo, MSW. The two sessions guide clinicians and caregivers toward a better understanding of the many Latinx cultures and offers approaches, strategies, and tools for when working with Latinx youth and their families. Topics range from the subtleties and diversity of experiences in the many Latinx cultures to the degrees of generational trauma that uniquely affects these families and communities.
THIS TWO-SESSION, SIX-HOUR deep dive into Latinx culture in the United States and the unique challenges presented for behavioral healthcare clinicians and caregivers working with Latinx youth and families is explored in significant detail in a wide-ranging conversation, covering a broad landscape of topics, punctuated with dozens of real-life examples of challenges met and triumphs made along the path of recovery. The collaborative team-approach uses a combination of instruction, intervention, (listen for Uno Therapy in the fifth stanza), and lessons learned. The true-life examples – some amusing, some harrowing, all poignant, if not inspiring – provide a narrative tapestry that connects and engages throughout the training and makes the daily small victories.
Learn More and Listen to Sessions
VIDEO RESOURCE | Raising Awareness of Fetal Alcohol Spectrum Disorders (FASDs)
FASD Awareness Day was September 9th and FASD Advocates in the US and Canada worked together to teach about Fetal Alcohol Spectrum Disorders and why it matters to you! The Centers for Disease Control and Prevention (CDC)’s Fetal Alcohol Spectrum Disorders (FASDs) Directory is part of the CDC mission of educating families, professionals, and the public by supporting trainings for medical and allied health students and practitioners, promoting screening and intervention tools for women’s health care providers, promoting educational materials to various audiences, and responding to public inquiries. View Awareness Video | View the Fetal Alcohol Spectrum Disorders (FASDs) Directory
MRSS TRAININGS | Mobile Response Stabilization Services (MRSS) Virtual Trainings Free to Ohio Providers
Series includes: 1) Mobile Response Stabilization Services Overview Training 2) MRSS Safety Planning, De-Escalation, and Stabilization; 3) and the MRSS Supervision Training Series. Supported by the Substance Abuse and Mental Health Services Association (SAMHA), the Ohio Department of Mental Health and Addiction Services (OhioMHAS), the Center for Innovative Practices (CIP), CE ‘s for counselors, social workers, and marriage therapists are provided by MSASS at CWRU.
Ohio’s Mobile Response and Stabilization Services can be especially helpful to children/youth and their families. Below are various resources from throughout the state designed to help keep clinicians and caregivers connected to their clients and families in order to keep the pace of recovery, despite the many challenges. Please share the link to this page with anyone you feel might benefit from these resources at this particular time.
The objective is to help Ohio clinicians and supervisors further understand and implement MRSS, new trainings for Mobile Response Stabilization Service have been announced for the coming the 2020-21 fiscal year.
Innovative Conversations Session 11 – Treatment at a Distance and Intensive Home-Based Treatment during a Pandemic
The Center for Innovative Practices (CIP) presents guests Bobbi Beale, PsyD and Maurie Long, PhD, discuss ‘treatment at a distance’-type services, becoming more widely accepted in behavioral healthcare during the Covid-19 pandemic, and which may thrive even post pandemic. They also explore Intensive Home-Based Treatment (IHBT), an intervention designed to address extremely challenging behaviors of youth within a home setting, often seen as a preferable alternative to removing a youth from their home.
Visit the Center for Innovative Practices (CIP) Special Covid-19 Resource Page
for Home-Based and At-a-Distance for Caregivers and Clinicians. Click Here
RESOURCE for Children;s Mental Health, Covid-19 and School Mental Health | National Association of State Mental Health Program Directors
The coronavirus has many people feeling distressed. This is very normal in times of crisis. You can manage these feelings and try to keep yourself healthy by taking some simple steps as shown in the many resources below. OhioMHAS has assembled this toolkit of various wellness resources for all of Ohio’s care providers. Research shows the mental health of frontline care workers may be compromised during disasters and other traumatic events (such as COVID-19) when their focus is on assisting others. We hope everyone in high stress positions will take a moment to familiarize themselves with what’s available so that if they find themselves emotionally overwhelmed, help will be no further than a click away. Download PDF of Resource Guide
CIP Training Brief | Introduction to Integrated Co-Occurring Treatment (ICT)
The Center for Innovative Practice’s Mike Fox, MA, PCC-S, LCDC-III, launches a new series of Training Briefs on Integrated Co-Occurring Treatments and Youth with Multiply-Occurring Needs. The Integrated Co-Occurring Treatment (ICT) model, an evidence informed practice, uses an intentionally-integrated and domain-guided treatment approach, which aligns with the Intensive Home Based Treatment (IHBT) design. The reciprocal interactions of co-occurring substance use and serious emotional disabilities are addressed directly, with each considered ‘primary’. Guiding principles include: System of Care (SOC) core values, a developmentally mindful and resiliency-oriented approach, strong family partnering, intentionally integrated screening and assessment, integrated and stage-matched treatment design, and ongoing safety and risk assessment. Youth, family and community engagement is emphasized and evaluated at all phases. ICT therapists receive weekly coaching and consultation in order to stay on top of the multi-faceted challenges and evolving areas of focus. Learn More
Innovative Conversations Session 10 | Multi-System Youth Action Plan and Ending Child Relinquishment with Sarah LaTourette
Grant money for counties still available this fiscal year to keep families together.
Sarah LaTourette, Executive Director of Ohio’s Family and Children First Council (FCFC) discusses the unified effort to end Child Relinquishment wherein families have had to give up legal custody of their children in order to qualify for Medicaid assistance for mental health, addiction, and juvenile justice services in Ohio. This fiscal year, ending June 30, 2020, there has been $8 million allotted for which counties can apply on behalf of youth and families in their community. For fiscal year 2020-21, there has been budgeted $12 million. – From the FCFC website: “County Family and Children First Councils (FCFCs) via a grant agreement with the Ohio Department of Medicaid (ODM) may seek multi-system youth custody relinquishment funding. Funding must only be requested to support children and youth who are at risk for custody relinquishment or have already been relinquished and need services and/or supports to transition to community and/or non-custody settings.
Learn More and Listen to Session | Apply here for state funding assistance for a child or youth with multi-system needs | Visit the Center for Community Solutions website here.
Listen to session below.
CIP Video Session Explores Trauma Effects from Covid-19
Bobbi Beale, PsyD, Senior Research Associate with The Center for Innovative Practices (CIP) at Case Western Reserve University’s Begun Center for Violence Prevention, presents an overview of the Covid-19 and understanding the global traumatic stress it has created. Entitled, “The Impact of the Pandemic: Understanding Global Traumatic Stress,” Dr. Beale examines the various forces impacting young people and families – especially young people in recovery. She also highlights the different assessments for gauging levels of trauma and informing treatment strategies as well as the ultimate goal of resiliency, Resiliency is an inner capacity that when nurtured, facilitated, and supported by others, empowers children, youth, and families to successfully meet life’s challenges with a sense of self-determination, mastery, hope, and well-being.
View the Video of The Impact of the Pandemic | Download PDF of Presentation
For Teens In Crisis Seeking Support, “Hey, I’m Here” Is a Place to Turn
Youth dealing with challenges to their mental wellness, especially during current times of crisis and concern, can find like-minded young people via, “Hey, I’m Here.” As the video says, “When you need support, every second matters and it’s important to know that you are not alone.”
“Hey, I’m Here” is part of Ohio’s Mobile Response and Stabilization Services (MRSS), helping children, youth, and their families who are experiencing an emotional or behavioral stressor by interrupting immediate crisis and ensuring youth and their families are safe. MRSS provides the support and skills necessary to return youth and families to typical functioning. | Learn More about MRSS |
RESOURCE FOR CLINICIANS DURING COVID-19
Conversations and Resources on Covid-19 | The Institute for Innovation & Implementation
University of Maryland School of Social Work
Over the past weeks we have held a number of conversations to support your work during COVID-19. Each conversation—crisis communications, in-home behavioral health, supporting families, residential care, infant and early childhood mental health, and mobile response and stabilization—has had a large turnout and active online participation. Access the recordings here. We continue to plan new conversations to address the challenges of today and to create forward-looking solutions for a brighter tomorrow. And we are working on new resources based on your questions.
COVID-19 and System of Care Practice Guidance | FOR Mental Health and Recovery Frontline Providers
Update Memo From Director Crisis Regarding Telehealth Services (March 18, 2020)
At this time, there is no guidance specific to behavioral healthcare. Use the guidance found through coronavirus.ohio.gov which links to the CDC and the most up to date information on protecting healthcare workers.•We expect that the ODM and OhioMHASrules and the accompanying Executive Order will be issued imminently. •We urge you to begin using telehealth to reach out to the adults and families in your care. •Document the decisions you are making with your own policies and protocol, and we will continue to work together to implement the practice and emergency rules once filed.•It is vital that you communicate to your community partners and the general public which programs and services remain open in your behavioral healthcare organization. Publish your phone numbers and other contact information.•Reach out to current clients through email or by phone. People need to know that behavioral health is open for business. – Courtesy of Project ECHO, a program with the Northeast Ohio Medical University (NEOMED)
View Project ECHO Video Presentation | View PowerPoint Presentation | Download PDF
ALSO: Due to the current COVID-19 pandemic, CIP is postponing our regular training series and learning communities effective March 13, 2020. CIP will proceed with small meetings/smaller booster trainings/ fidelity reviews that allow for appropriate social distancing, and when collaboratively agreed upon between the participants and CIP. When possible, we will provide our services by web-based/conference call alternatives. Given that this is a fluid situation, it is difficult to project when we will be able to return to our regular in-person trainings and events. We will base these decisions on recommendations from the Ohio Department of Health and the CDC.
Shifting Gears & Changing Minds | Adapting Mental Health & Behavioral Health Services for COVID-19
The Center for Innovative Practices (CIP) offers a timely webinar on how mental health and behavioral health specialists and clinicians can meet the evolving needs of young clients and their families during the Covid-19 crisis and the necessary distancing involved. The session explores strategies, tools, and lessons learned in ways to offer connection and continuity those in recovery. – Hosted by the CIP’s Senior Research Associate, Bobbi Beale, PsyD as part of the CIP’s continuing mission to help clinicians, their organizations, their clients, families and communities adjust to new ways of connecting in recovery, especially with high fidelity intensive home-base treatment and Wraparound Systems of Care approaches to youth mental health and substance use recovery. View Session in Bigger Frame | View Video of Session
Shifting Gears & Changing Our Minds – Adjusting BH services during COVID-19 HO2 (PDF) Here | Shifting Gears & Changing Our Minds – Adjusting BH services during COVID-19 HO2 (Word Document) Here | Individualized Resilience Plan – Sample (PDF) Here | Individualized Resilience Plan – Sample (Word Document) Here
Innovative Conversations Session 9 | An Overview of Multisystemic Therapy (MST )with the CIP’s Maureen Kishna
Maureen Kisha, MST Expert and Developer with the Center for Innovative Practices (CIP), has worked for the last 17 years within the field of Multisystemic Therapy (MST). Multisystemic Therapy (MST) is an intensive family and community-based treatment program addressing the multiple determinants of serious anti-social behaviors in juvenile offenders. The approach views individuals as being nested within a complex network of interconnected systems that encompass individual, family and extra-familial factors such as peer groups, schools, the community, and the courts and other service systems. MST focuses on addressing all environmental systems that impact chronic and violent juvenile offenders and strives to promote behavior change in the youth’s natural environment – their home and family, school and teachers, neighborhood and friends.
Learn More and Listen to Session
Innovative Conversations Session 8 | An Overview of Integrated Co-occurring Treatment (ICT) with the CIP’s Mike Fox
Combining experiences from mental health and substance abuse direct treatment, systemic and contextual coordination, and teaching with research-driven data, Mike works with demonstrated practices to assist professionals and communities decrease risk to individuals and help families. He provides educational training and consultation to professionals working with youth and families with co-occurring mental health and substance abuse issues, including the Integrated Co-Occurring Treatment Model (ICT) model developed by the Center for Innovative Practices. Previously, Mike worked in the addictions field of counseling with adults and later provided treatment to co-occurring youth in home-based settings. Mike also teaches college courses in psychology, addictions and human development. Learn More and Listen to Session
Below are new resources recommended by the Center for Innovative Practices (CIP) for youth involved in recovery in the areas of mental health, substance use, behavioral health, judicial justice, and trauma, their families, and their care providers, clinicians and communities. (From near image, left to right.)
New Report to Congress from The Congressional Black Caucus Emergency Task Force on Black Youth Suicide and Mental Health
| Read Report |
Report Supports Enhanced Mental, Emotional, and Behavioral Development with At-Risk Youth | Read Report |
Study Highlights the Benefits of Multisystem Therapy (MST) | Learn More |
To better reach, inform and serve Ohio’s children, youth and families facing complex mental health, substance use, and behavioral challenges, Northeast Ohio Medical University (NEOMED) offers Ohio Systems of Care Project ECHO for Multi-System Youth as part of the State of Ohio’s Wraparound Ohio Systems of Care initiative. The Project ECHO team of experts and specialists provide opportunities to present complex cases and to receive written recommendations from multidisciplinary experts; develop the knowledge and skills to manage complex conditions in their own communities and be part of a community of practice; and learn from brief lectures and case-based learning on topics of special interest. From July 23, 2020 – June 24, 2021, the Project ECHO team will meet Thursdays from 11:30 a.m. – 1 p.m. Each week a case presentation will be shared from different region in Ohio: Northeast, Northwest, Southeast and Southwest. You are invited to view videos of past sessions by clicking the link. View Video of Sessions | Learn More About Project ECHO
Webinar | A National Perspective on the Family First Prevention Services Act (FFPSA)
An Innovative Conversations Webinar with Sheila Pires
Guest Sheila Pires, Managing Partner, Human Service Collaborative Core Partner, National TA Network for Children’s Behavioral Health, speaks with former CIP Director and Innovative Conversations host, Patrick Kanary present a national perspective discussing the Family First Prevention Services Act (FFSPA). It is the first installment of a two-part discussion, the second of which will explore Family First from a state-wide perspective with specialists from Ohio. This session involves the Family First Prevention Services Act (FFPSA) and what it means to states funding in-home treatment and recovery for at-risk you dealing with the challenges of mental health, substance use, trauma, and judicial justice issues.
View Video of Webinar Session | Learn More about FFPSA
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
CIP PRESENTS HEALTHY KIDS LEARNING COMMUNITY WEBINARS | 2018-19
One of the immediate missions of the Healthy Kids Learning Community initiative has been to create an accessible, continuing resource for clinicians and caregivers dealing with the surmounting crises and dimensions that has occurred during the Ohio opiate epidemic over the past half decade. In keeping with this mission, the Center for Innovative Practices, in collaboration with WraparoundOhio.org and the Healthy Kids Learning Community initiative, partnered with some of Ohio’s foremost experts in their respective fields to lend their perspectives via their areas of expertise in a community share for the Buckeye State’s youth, families, clinicians, and various stakeholders dealing with the challenges and recovery of those youth and families. Below is the five-session series, exploring the various facets of the crisis, notably including various ways to help service provider staff avoid burnout and turnover. Learn more about complete 6-part series
2. View Understanding Opioid Addiction Webinar here
3. View Trauma Informed Biographical Timeline Webinar here
4. View Urban Zen Avoiding Burnout in High Stress Work Environments Webinar here
5. View The Opioid Crisis and the Impact on Families and Children Part 2 Webinar here
6. View Healthy Kids Learning Community Facilitated Discussions On the Opioid Crisis in Ohio 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..
For more original CIP features and resources from partner sources, click here