Monday, March 18, 2013

Establish, expand, train family support groups - www.icareguam.com


PDN Article – March 9, 2013

This is the second of five in a series of articles for public awareness on the five major strategies of the Guam System of Care Expansion, a four-year plan. The second strategy is on the development and support of home- and community-based systems of care that are family-driven services.
A main sub-strategy under this is the training and support of families and youths so they can organize as support groups and work in collaboration and partnership with other parent and youth groups with similar goals throughout our island.
Establishing and expanding family support groups will enhance parent involvement, facilitate family engagement, expand peer-to-peer parent services, build family and youth leadership and foster individual self-advocacy.
The system of care and wraparound model advocates for serving the child and his or her family in the least restrictive setting possible -- in the home and in the community. The system of care philosophy strives to equip families to care for their children as independently as possible.
An action step in this sub-strategy is to obtain input from families and youths in identifying their training needs. Some of the identified training needs are in the areas of system of care and wraparound processes, self advocacy, public speaking, personal and workforce development, life skills, group facilitation skills, cultural competence, mental health first aid, trauma-informed care and transition services.
Family and youth involvement in program planning and development on standards of care, and agency protocols and policies are additional training components.
The ultimate goal of family training and involvement is to support families to eventually be able to establish themselves as a 501(C)3 family organization to contract as service providers in the system of care's array of services, such as respite care providers, therapeutic foster care, wraparound meeting facilitators and 24-hour crisis services, to name a few.
Recognizing the importance of cultural traditions and practices of families, such as "natural healing" with suruhanus (local healers) and faith-based practices, is an important inclusion in the child- and family-care plan, when requested by the families.
Partnerships and linkages with various ethnic community youth groups for afterschool cultural enrichment activities are other action items to be explored and developed, as well as the "grandparents adoption program" at the village community centers, linking senior citizens and youths for enrichment and cultural activities.
Another action item is the development of Youth Peer Specialist positions. These specialists, with shared experiences, would serve as group leaders, support group facilitators and mentors, facilitate greater youths engagement and reach out to more youth in the community.
Another main sub-strategy is the partnership with the Department of Education in the provision of school-based behavioral health services, integrating mental health services into the school-based health clinics/centers, a core service access strategy. This would allow a greater number of youths needing mental health interventions to access the service on site.
An action item in this sub-strategy is the ongoing training of school personnel in system of care, wraparound and the referral process.
Tune in next week for the third strategy. Call 477-5338 if you're interested in learning more about the plan or how you can help.
Annie F.B.Unpingco, LCSW, is administrator of I Famagu'on-ta, Child Adolescent Services Division at the Department of Mental Health and Substance Abuse.


Monday, March 11, 2013

Action items aim to improve services - www.icareguam.com



PDN Article- March 2, 2013

This is the first of a series of public awareness articles on the Guam System of Care four-year Expansion Plan. This article will focus on the first of five strategies of the plan which is the implementation of regulatory changes and systemwide care standards and protocols.
Institutionalizing care standards and protocols that are based on system of care core values, principles and best practices across child-serving systems would build a strong foundation that would lead to positive policies and regulatory changes. These care standards and protocols then can be upheld through contracts, memoranda of agreements, policies, licensing codes and continuous quality management.
One of the sub-strategies is the development of an Executive Committee on System of Care which Gov. Eddie Calvo has established and whose members are senior-level management of the government agencies that service children and youths. This committee, which meets quarterly, would be receiving input from the Guam System of Care Council and the Expansion Planning Team and would be the focal point of accountability for regulatory and system changes.
At the initial meeting of the committee last week, each member signed a commitment for system of care and the agencies they represent to adopt a system of care for children and families that is: child-centered, youth guided, and family-driven; based on individual strengths and needs; utilizes best practices; and provides services in the least restrictive setting possible.
Other action items in this sub-strategy are the exploration of blending and braiding funds across agencies in the service of multi-system involved youths, and the development of confidentiality agreements, data sharing and the development of a unified care plan across child-serving agencies.
The Executive Committee on System of Care can assist in streamlining and integrating government programs, services and data systems with the intent of improving efficiency and creating better outcomes for children and youths.
The other sub-strategy is the development of core competencies for the implementation of the system of care framework for Guam. This involves a review of the standards and protocols for wraparound, documenting the process and establishing guidelines for wrap team membership, roles and responsibilities and wraparound caseload size.
It includes the development of minimum licensure standards based on the core competencies for contracted service providers, and creates a monitoring tool to audit providers based on these licensure requirements.
Action items in this sub-strategy are the development of minimum training standards based on the core competencies for clinical staff, service providers, child-serving agencies, youth and family peer specialists, including hours of training, supervision and creating a monitoring tool to record and audit compliance to training standards.
Another action item is the establishment of a continuous quality management review and audit schedule to review compliance with the standards prior to re-contracting and/or bidding of services, and to bring the standard of care in the form of memoranda of agreement to other child-serving agency partners to seek their support and commitment to the expansion of the system of care within their service area.
Annie F.B.Unpingco, LCSW, is administrator of I Famagu'on-ta, Child Adolescent Services Division at the Department of Mental Health and Substance Abuse.