planning for a single point of access for families one stop family support and resource center...
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Planning for A Single Point of Access For Families
One Stop Family Support and Resource
Center
Baltimore, Maryland
BACKGROUND Increasing numbers of Maryland
children with complex special needs were being placed in custody of state agencies to access needed services
In response, HB 1386 was passed in 2003, which required that all Maryland counties develop a plan for a single point of access to services (by 6/05)
BACKGROUND cont.. Baltimore City, with the largest # of children
with intense needs, was selected as the pilot project site for the ”Local Access Mechanism”.
The Maryland Governor’s Office of Children, Youth and Families received a Family Support 360 planning grant from The Administration on Developmental Disabilities to design a model One Stop Center for families who have a child with developmental disabilities, mental health needs, or other “intensive needs”.
Baltimore City at a glance 651,154 residents ;161,353 are children under 18* 80% (128,435) of those under age 18 are minorities.* 31% of children are living in poverty.* 15,313 children had a disability qualifying for special
education services as of 10/1/04. 19,541 children and youth received mental health
services via the public mental health system in 2003 Diverse communities- 80% are minority (primarily African-
American; also Latino, Orthodox Jewish and Asian) * 2003 U.S. Census Report
GOALS AND OBJECTIVES The Family League of Baltimore City
was selected to implement the ADD grant- to develop a “One Stop” Family Support and Resource Center in Baltimore City to provide: Information and referral to families Targeted assistance to 50 families of
children with intensive needs per year A “family-centered” culturally competent
approach
Who is at the planning table?Key considerations in establishing:
Parents from community –essential! Identifying the other key stakeholders-
Local public child agencies-Dept of Social Services, schools, Developmental Disabilities Administration, Juvenile Services, children’s public mental health agency
Family organizations Providers
Mental health and developmental disability sectors both represented
Cultural diversity reflecting Baltimore’s demographics
DEVELOPING THE “PLAN”
Family –Centered in approach
Outcomes that are measurable
Meaningful parent leadership
Cultural Competence
Families hold the key to their success
GUIDING PRINCIPLES AND CORE VALUES
KEY QUES:WHAT DO FAMILIES & YOUTH WANT?
Focus groups held with Baltimore City parents from diverse cultural backgrounds
Parent organizations- Families Involved Together, Parents Place of Maryland and Center for Jewish Education hosted groups
Focus group with youth – hosted by Maryland Association of Resources For Youth (MARFY)
Services the Center Offers
Information for families about: Disability or mental
health -related Service providers Resources Advocacy/legal
organ Public agencies Family support
Assistance with linking to services
Highly individualized family-centered plans (for “target group” of families)
Family Navigator Key component-paid staff of the One Stop
Center who : Assist in developing family-centered plans Assist families w/ accessing services Are liaison to interagency team Act as advocate in implementing plan Model to empower parents/families Provide periodic follow-up
Are all parents of a child w/disabilities or mental health needs; most from the City.
INTERAGENCY Child- serving public
agency partners: Dept Social
Services Juvenile Services City school system Developmental
Disabilities Admin
Resolve problems accessing services
Assist w/ applications
Resource for staff Referral source MOUs developed
with agencies for on- site staffing & support.
QUALITY ASSURANCE Success of project :
Family satisfaction surveys Parent steering committee to oversee Outcome indicators (remained in
home; stable in community, etc..)
Reaching “the community”-A recent example A project partner-Md Disability Law Center
invites us to attend a meeting of a new Faith-based initiative in a West Baltimore neighborhood- Upton
26.2% of the homes are vacant 40% have less than a high school education 48% of adults are not in the workforce Median household income is less than half
the national median income Almost 50% of high school students miss
more than 20 days of school during year
Upton’s Community Assets Informal support systems Active large churches Neighborhood organizations Health clinics Social service providers Head start programs Concerned citizens
Faith-Community Partnership- some outcomes Working with large church (1,000 members)
to obtain TA for its summer program to successfully include children with mental health/behavioral issues
Grandmother who is primary caregiver for 5 year old with developmental delays is linked to us from the church’s Ass’t Pastor.
All the participating churches will distribute the center’s brochures
Planning a series of workshops for parents with local NAMI in that community
WHAT WE ACCOMPLISHED Determined key
gaps/barriers to services & supports
Partnerships developed across service systems- MH and DD
Strong stakeholder commitment to project
Shared vision of family one stop center
PARTNERSHIPS DEVELOPED
Parents & systems of care agencies
Non profit advocacy & public agencies
Cross-system: mental health & developmental disability systems
Parents of children with MH issues & of children with DD.
Child welfare agencies & MH/DD agencies
Faith community School based mental
health University of Md
Center for mental health
Lack of data on kids with “intensive needs”
Recruiting more parents and Latino members
Lack of universal application/screening
School system in crisis Prioritizing needs Existing silos in system
CHALLENGES
LESSONS LEARNED Need participation
from high-level agency staff to obtain commitments
Engage consultants sooner in developing needed tools
Learn from others’ challenges/ barriers
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