# Presentation: 376163

## How to Use

**How to Use**
**This Customizable PowerPoint Presentation**

**Systems of Care Work ****for**** ****Child Welfare**

## Overview

- This customizable PowerPoint presentation was designed for use by systems of care to introduce themselves and the concept of systems of care to child-, youth-, and family-serving partners.
- This presentation is copyright free and is completely customizable. Users can alter this presentation in any way, including, but not limited to: information and data, design, slide order, and sample script.
- Information about systems of care can be found at *www.systemsofcare.samhsa.gov.*
- Information about how to use PowerPoint can be found at *www.office.microsoft.com.*

## About This Presentation

- This customizable PowerPoint presentation was developed for Federal system of care communities by the Caring for Every Child’s Mental Health Campaign of the Center for Mental Health Services within the Substance Abuse and Mental Health Services Administration of the U.S. Department of Health and Human Services.
- Content was developed in partnership with local systems of care, systems of care partners, the Technical Assistance Partnership, and the National Evaluation Team. These individuals contributed information, substantive review, and feedback.
- Questions about this PowerPoint presentation should be directed to your social marketing technical assistance provider.

## The Goals of the PowerPoint Series

- 	The goals of these PowerPoint presentations are:
- Increase awareness of mental health needs and services for children and youth among mental health providers, CMHI communities, intermediary group/organizations, and the public;
- Build capacity within CMHI communities to sustain services and support to children and youth with serious emotional and behavioral disturbances and their families;
- Reduce the stigma associated with mental illness;
- Increase the likelihood that children and youth with serious emotional and behavioral disturbances and their families are appropriately served and treated; and
- Demonstrate that the needs of children and youth with serious emotional and behavioral disturbances and their families are best met through utilization of systems of care.
- 	This series of PowerPoint presentations was developed at the request of numerous systems of care communities who recognized the need for an easy-to-use presentation tool to support  local partnership development for systems of care.

## Using Data

- The data in this presentation are from a variety of sources. Citations have been provided in the notes section. If you want to include the citation in the slide, cut and paste it from the notes section.
- Users are encouraged to update or modify the data as is appropriate and necessary. The Campaign highly recommends using data from credible sources and having citations available to members of the audience.

## Inserting Local Information

- This presentation can be enhanced substantially by including local data and a case study from your system of care. Conduct your presentations with and about the youth and families in your communities whenever possible. Their stories are the best way to illustrate the benefits of your system of care to decisionmakers, opinion leaders, and potential partners.
- Template slides have been included for you to add this information. If local information is not available, these slides can be deleted.

## Using the Sample Script

- A sample script has been included in the notes section to help users understand how the slides work together and to provide a basis for a presentation.
- The sample script is only a suggestion. Users are encouraged to modify it to meet their needs or to develop their own script.

## Modifying the Design

- The slides have been designed so they are consistent with the Campaign’s look and feel. Here are some of the ways you can customize the design:
- -	Logos can be added to the upper right-hand corner of 	some slides.
- -	Citations can be included in the long horizontal box at 	the bottom of most slides.
- -	The bottom right section of most slides is reserved for the 	presentation’s name, slide number, or any other 	information you want to add.
- -	The name of the presentation can be changed on each 	slide.
- System of care communities may want to use slide layouts that more closely reflect their materials. Users are encouraged to cut and paste information from these slides into their own designs.

## Logo Guidelines

- The Substance Abuse and Mental Health Services Administration has rules regarding the use of its logos and other identifying marks. Generally speaking, users are encouraged to use their own logos and identifying marks, as they are not officially representing the Campaign, the Center for Mental Health Services, or the Substance Abuse and Mental Health Services Administration.
- For more information on whether or not a SAMHSA, CMHS, or Campaign logo can be used in your presentation, please contact your social marketing technical assistance provider.

## Systems of Care Work for Child Welfare

**PRESENTED BY:**
- [Your Name and Title]
- [Your System of Care Community’s Name]
- [Your Contact Information]

- [Your LOGO]

**Systems of Care Work ****for**** ****Child Welfare**

**Notes:**
My name is (name), and I represent the (name and location of system of care community). I’m happy to talk to you today about how systems of care for children’s mental health and (name of local SOC program) can help all of you in the child welfare profession achieve your goals for the families you serve. I hope that my presentation today can serve as a springboard for a discussion about ways that we can work together to help children and youth with mental health needs and their families. 

## Children and youth are in safe and stable homes
Families are able to meet their children’s needs
Family preservation and reunification

- Children and youth are in safe and stable homes
- Families are able to meet their children’s needs
- Family preservation and reunification

**Systems of Care and Child Welfare Professionals Share Common Goals**

**Notes:**
Let’s start by talking about what all of us have in common. As child welfare professionals and children’s mental health advocates, we share goals for the families and communities that we serve. Ultimately, we want children and youth in our communities to reside in safe and stable homes. We want their families to be able to provide for their physical, social, and emotional needs. And we want to do our best to ensure that children and families can stay together while they work through their challenges. 

## Meeting the mental health needs of children, youth, and families is critical to achieving these goals.

**Meeting the mental health needs of children, youth, and families is critical to achieving these goals.**

**Systems of Care Work ****for ****Child Welfare**

- [Your LOGO]

**Notes:**
Families often become involved in the child welfare system because there is a community perception that children need protection. In many cases, they enter the system with mental health needs. The Child Welfare League of America estimates that more than 80 percent of children in foster care have needs related to mental health. At the same time, the Substance Abuse and Mental Health Services Administration estimates that more than one-third of those 12 and older actually get help when they show signs of depression. Clearly, it’s critical to address these mental health issues in order to achieve the outcomes we all want for children, youth, and families.

## Facts About Children’s Mental Health

**Facts About Children’s ****Mental Health**

- More than four out of five children in foster care have developmental, emotional, or behavioral problems.*
- More than one-third of those 12 or older who experience a major depressive episode do not receive treatment.**
- Some families have undiagnosed mental health and substance abuse disorders.

**Child Welfare League of America*
***SAMHSA*

**Notes:**
Sources:
Four Out of Five: Child Welfare League of America. Child Mental Health: Facts and Figures. Retrieved from www.cwla.org/programs/bhd/mhfacts.htm.

More than one-third: Substance Abuse and Mental Health Services Administration. (2005). Overview of Findings from the 2004 National Survey on Drug Use and Health (Office of Applied Studies, NSDUH Series H-27, DHHS Publication No. SMA 05-4061). Rockville, MD.

## What Works?

**What Works?**

- Children, youth, and families enter the child welfare system with varied needs and can benefit from cross-agency collaboration.*
- When children and youth with serious mental health needs receive coordinated services, their functioning substantially improves at school, at home, and in their community.

**Data Trends #104, September 2004, University of South Florida*

## Systems of Care

**Systems of Care**

**Helping children and youth with serious mental health needs and their families**

**Systems of Care Work ****for**** ****Child Welfare**

- [Your LOGO]

**Notes:**
That’s why over the past decade more and more child welfare agencies have instituted programs to provide comprehensive mental health supports and services for children, youth, and families. Some child welfare agencies have done this by partnering with their community’s system of care for children’s mental health. Systems of care work with these agencies to identify children, youth, and families in need and then coordinate a wide range of services and supports to help them reach their full potential at school, at home, and in the community. And over the past decade, many agencies have found that the system of care approach works for them. By now, you’re probably asking, “What are systems of care?”

## A System of Care Is...A community partnership among families, youth, schools, and public and private organizations to provide coordinated mental health services. Partners may include:

**A System of Care Is...****A community partnership among families, youth, schools, and public and private organizations to provide coordinated mental health services. Partners may include:**

- Child welfare
- Education
- Mental health and substance abuse professionals

- Juvenile justice
- Primary health care
- Families
- Other community organizations

**Notes:**
At the community level, a system of care is a partnership of child- and family-serving agencies and organizations, who, incidentally, usually find themselves serving the same children. By working together, they are able to build on each partner’s strengths to provide care that is more comprehensive and effective. This coordination also helps reduce the stress on children, youth, and families because they do not have to meet competing demands of agencies that would otherwise be working independently.

Of all the system of care partners, child welfare is one of the most important. As you know, child welfare professionals are often the first to meet an individual family and assess their needs. Child welfare is often in the position to take the most global look at a family and discuss with them the types of services and supports that will help them function better and stay together. This information is critical to the success of the coordinated services that a system of care can provide. 

## Family-driven and youth-guided
Culturally and linguistically competent
Community-based

- Family-driven and youth-guided
- Culturally and linguistically competent
- Community-based

**A System of Care Is...****Guided by Core Values**

**Notes:**
The work of all community partners in a system of care is guided by these core values, which are the conceptual framework for all systems of care across the country, even if each system of care has a different focus. For example, some systems of care focus heavily on schools, others focus heavily on juvenile justice. Some may focus on serving Native American children and youth, while others serve primarily Hispanic/Latino populations. Again, these are core values that systems of care share with the child welfare profession.

## Established by Congress in 1992
Currently, more than 60 system of care communities
Funded through cooperative agreements to States, communities, territories, and Tribal Nations
Administered by the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services

- Established by Congress in 1992
- Currently, more than 60 system of care communities
- Funded through cooperative agreements to States, communities, territories, and Tribal Nations
- Administered by the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services

**A System of Care Is...****Part of a National Initiative**

**Notes:**
Another unifying factor for all systems of care is that they are part, or once were part, of a national initiative established by Congress in 1992. Through federal grants, cooperative agreements, and contracts, communities are funded to develop systems of care to serve the mental health needs of children, youth, and families. The initiative is administered by the Child, Adolescent and Family Branch of the Center for Mental Health Services, within the Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration. 

## Measures progress of children, youth, and families in systems of care
Informs decisionmakers and the decision-making process
Ensures accountability at the Federal and community level

- Measures progress of children, youth, and families in systems of care
- Informs decisionmakers and the decision-making process
- Ensures accountability at the Federal and community level

**A System of Care Is...****Federally Evaluated**

**Notes:**
It’s important to note that all systems of care are Federally evaluated on the progress they make toward helping children, youth, and families using scientifically and statistically reliable instruments and methods. These aggregate data are used to inform Federal-, State-, and community-level decisionmakers on policies and practices that best help children and youth with serious mental health needs. This, in turn, improves the decision-making process. Finally, the evaluation data ensure that those involved with providing services through a system of care are financially and ethically accountable. 

## 	Because it is a coordinated network of community-based services and supports that are organized to meet the challenges of children and youth with serious mental health needs and their families.

**A System of Care Is...****Comprehensive**

- 	Because it is a coordinated network of community-based services and supports that are organized to meet the challenges of children and youth with serious mental health needs and their families.

**Notes:**
So, in other words, a system of care is comprehensive because it is “a coordinated network of community-based services and supports that are organized to meet the challenges of children and youth with serious mental health needs and their families.” 

## How Do Child Welfare Agencies Benefit from Systems of Care?

**Systems of Care Work ****for ****Child Welfare**

- [Your LOGO]

**How Do Child Welfare Agencies Benefit from Systems of Care?**

## How Do Child Welfare Agencies Benefit From Systems of Care?

**How Do Child Welfare Agencies Benefit From Systems of Care?**

- Homes are stable.
- Families are stronger and feel supported.
- Families have more resources within their communities.

**Notes:**
Child welfare agencies benefit significantly from partnering with systems of care. Children and families served by systems of care provide more stable homes for children. Families are stronger and have more resources. Now, let’s look at these benefits in a little more detail. 

## Benefit: Homes Are Stable

**Benefit:**** ****Homes Are Stable**

- The percentage of children and youth who lived in multiple settings decreased by 11 percent over 12 months.

*Source: CMHS National Evaluation: Aggregate Data Profile Report, 2005*

**Notes:**
Children in systems of care have increasing stability in their homes. An evaluation of children in systems of care showed that the percentage of children in multiple living arrangements decreased 11 percent in 12 months. Although these data do not indicate why children and youth were living in multiple settings in the first place, it does correlate to some important child welfare indicators, such as stability of placements and prevention of placement.

Source: 
CMHS National Evaluation: Aggregate Data Profile Report, Grant Communities Funded from 1997 to 2000, data as of October, 2005.

## Caregiver strain is reduced in many families.
More than a quarter of families had higher functioning after 30 months; more than half remained stable.

- Caregiver strain is reduced in many families.
- More than a quarter of families had higher functioning after 30 months; more than half remained stable.

*Source: CMHS National Evaluation: Aggregate Data Profile Report, 2005*

**Benefit:**** ****Families Are Stronger**

**Notes:**
Addressing the mental health needs of children and families through a system of care helps reduce overall strain in the household. More than 93 percent of families and caregivers reported either decreased or stabilized strain associated with caring for a child with a serious emotional disturbance when assessed after entering services. Family functioning improved for more than a quarter of the families in systems of care over 30 months, and remained stable in over half of the families.

Source:
CMHS National Evaluation: Aggregate Data Profile Report, Grant Communities Funded from 1997 to 2000, data as of October, 2005.

## Caregiver job, vocational, and educational skills improve.
Incomes increase.
Families have more time and support.

- Caregiver job, vocational, and educational skills improve.
- Incomes increase.
- Families have more time and support.

*Sources: CMHS National Evaluation: Updates from the National Evaluation, Services Evaluation Committee Meeting, 2004*
*CMHS National Evaluation: Aggregate Data Profile Report, 2004*

**Benefit:**** ****Families Have More Resources**

**Notes:**
Children’s mental health needs can take a toll on caregiver employment and income as families miss work to deal with issues at home and at school. Within the first 18 months of services, around one-third of caregivers reports improvements on a number of work-related outcomes, such as improvements in job-related, vocational and educational skills; increases in earnings; and decreases in absenteeism.  Caregivers with an annual income of $15,000 or less are significantly more likely to report improvements in vocational and educational skills and increases in earnings.

Sources:
Skills and incomes: Analysis of National Evaluation data from communities funded between 1997 and 2000, data as of October, 2005.

Time and support: CMHS National Evaluation: Aggregate Data Profile Report, Grant Communities Funded from 1997 to 2000, data as of October 2005.

## Who We Are

**Who We Are**

**Notes:**
[Insert a slide describing your system of care here. You may want to include your system of care’s name, its mission, and its vision.]

## Who We Serve

**Who We Serve**

**Notes:**
[Insert a slide describing who your system of care serves. You may want to include geographical areas (i.e., names of towns, counties, etc.), specific populations, etc.]

## Our Partners

**Our Partners**

**Notes:**
[Insert a slide describing your system of care partners.]

## Our Outcomes

**Our Outcomes**

**Notes:**
[Insert a slide describing your outcomes here. Child welfare-related outcomes should be a priority.]

## [Insert Name of Child Or Youth]’s Story

**Systems of Care Work ****for**** ****Child Welfare**

- [Your LOGO]

**[Insert Name of Child Or Youth]’s Story**

**A Local Case Study in Success**

**Notes:**
[Insert a slide describing a child or youth’s story.]

## Glenn County, California
Approximately 80-90 children and youth enrolled in the system of care in any given month
24 percent are referred to the system of care through child welfare

- Glenn County, California
- Approximately 80-90 children and youth enrolled in the system of care in any given month
- 24 percent are referred to the system of care through child welfare

**Systems of Care and Child Welfare:**** ****A Case Study in Success**

**Notes:**
By now, you are probably wondering how all of this translates on a local level. It’s one thing to see national data, but it’s another to see systems of care in practice. The next few slides illustrate a system of care in the County of Glenn, California. This community has about 80-90 children and youth actively enrolled each month, and about a quarter of them are referred to the system of care through child welfare services. It serves a primarily small, rural community with about one-sixth of its total population under age 18.

## Children, youth, and families receive coordinated services.
Out-of-home placements are decreased.
Costs to the public are decreased.

- Children, youth, and families receive coordinated services.
- Out-of-home placements are decreased.
- Costs to the public are decreased.

**Outcomes of the System of Care Partnership in Glenn County, California**

**Notes:**
Generally speaking, through a partnership with a system of care, child welfare services in the County of Glenn are able to bring coordinated services and supports to families, which leads to decreased out-of-home placements, and ultimately lower costs to the public. 

## Child welfare and mental health professionals work closely together.
Mental health services are introduced in homes by system of care representatives and child welfare professionals.
Other child and family services are more accessible.

- Child welfare and mental health professionals work closely together.
- Mental health services are introduced in homes by system of care representatives and child welfare professionals.
- Other child and family services are more accessible.

**Outcome:**** ****Coordinated Services**

**Notes:**
Why are coordinated services so important? Coordinated services are important because they give child welfare professionals a resource for addressing mental health needs that, when unmet, affect the overall well-being of families. At the same time, the system of care is able to bring other needed supports and services to families, which may not have been possible had the child welfare agency been uninvolved with the system of care.

## Early mental health intervention helps children, youth, and families stay together.
Early mental health intervention reduces the length of time for out-of-home placement.

- Early mental health intervention helps children, youth, and families stay together.
- Early mental health intervention reduces the length of time for out-of-home placement.

**Outcome:**** ****Decreased Out-of-Home Placements**

**Notes:**
By making more services and supports available to children, youth, and families, families are more likely to stay together. In those cases when children and youth are placed out of the home, the length of placement is reduced. In some instances, the length of placement can be reduced by half.

## Out-of-home placements cost $2,000 to $20,000 per month per child.
Early mental health services can bring a child home earlier, reducing overall costs.

- Out-of-home placements cost $2,000 to $20,000 per month per child.
- Early mental health services can bring a child home earlier, reducing overall costs.

**Outcome:**** ****Decreased Costs**

**Notes:**
Out-of-home placements can cost as much as $20,000 per month per child; making comprehensive services and supports available enables them to reunite with their families much earlier. In one instance, a youth had been in out-of-home placement for a year prior to being enrolled in the system of care. The total cost for that year was nearly $89,000. After being in the system of care for only 6 months, the youth was reunited with his or her family. The cost of services during that 6-month period was about $54,000, suggesting a savings to the public of about $35,000.

## What Our Partnership Could Accomplish

**What Our Partnership Could Accomplish**

- Coordinated, community-based services that support families in need
- Collaborative, individualized plans of action for families in the community
- A community support structure that is accessible and family-focused

**Notes:**
[These bullets are suggestions. Please insert accomplishments that would be realistic for your system of care.]

As partners, we can help children, youth, and families with serious mental health needs reach their full potential. At the same time, our partnership can help juvenile justice agencies reach their full potential in serving children and youth.

Source:
The Center for Community Partnerships in Child Welfare’s Spring 2005 issue of Safekeeping, “Human Resource Management’s Role in Recruiting, Hiring, and Retaining a Workforce Committed to a New Practice Model.” TAP Child Welfare Web site

## How Can We Work Together To Support Children’s Mental Health Needs?

**How Can We Work Together To Support Children’s Mental Health Needs?**

**For more information, contact:**
- [Your Name and Title]
- [Your System of Care Community’s Name]
- [Your Contact Information]

**Notes:**
Now, I’d like to finish by brainstorming some ways we can work together.