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Building Bridges Between Residential and Community-Based Service Delivery Providers, Families, and Youth

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ProviderAn exciting and significant step towards transforming the children’s mental health system occurred at the Building Bridges Summit in Omaha, Nebraska on June 14-17, 2006. In order to address the historical tensions between residential and community-based service providers and systems, a meeting was held to better integrate and link residential (out-of-home) and community-based services and supports. The Summit participants were chosen because of the range of their experience and knowledge as well as their personal commitment to creating services that are respectful, empowering and effective. Participants included residential and home and community-based service providers, family members, youth, national and state policy makers, system of care council members, tribal representatives and representatives of national associations related to children’s mental health and residential care.

 

Resources:

Article:

The article is available full-text online.

Resources:

Working Definition of Family-Driven Care
This information sheet developed by the Federation of Families for Children's Mental Health includes a definition of family-driven care, guiding principles of family-driven care, characteristics of family-driven care, and lists of useful and interesting web references.

Family Ties
This statewide publication of Wisconsin Family Ties includes one family's story of how they assembled a family-driven team, an article citing the need for a definition of family-driven care, and an article outlining the importance of taking a strength-based perspective.

AACRC Position Paper**: Redefining Residential: Becoming Family-Driven
This paper represents the current thinking of the American Association of Children's Residential Centers (AACRC) regarding the importance of family-driven care for youth placed in congregate facilities.

A Guide to Achieving the Promise: Transforming Mental Health Care in America through Advocacy!
This publication of the Federation of Families For Children's Mental Health examines key aspects of the President's New Freedom Commission on Mental Health and suggests opportunities for advocacy initiatives. The purpose of the tip sheet is to enlist the support of families, family organizations, and advocates to achieve the promise of a transformed system.

   

The purpose of the Summit was to:
1. Establish defined areas of consensus, related to values, philosophies, services and outcomes;
2. Develop a joint statement about the importance of creating a comprehensive service array for children, youth and families, inclusive of residential and out-of-home treatment settings as part of the entire range of services;
3. Identify emerging best practices in linking and integrating residential and home and community-based services;
4. Set the stage for strengthening relationships and promoting consensus building; and
5. Create action steps for the future.

The Joint Resolution identifies an urgent need for transformation and envisions a comprehensive, flexible family-driven and youth-guided array of culturally competent and community-based services and supports, organized in an integrated and coordinated system of care in which families, youth, providers, advocates, and policymakers share responsibility for decision making and accountability for the care, treatment outcomes and well-being of children and youth with mental health needs and their families. Participants believe that actualizing this vision will yield a more efficient service delivery system, more effective and appropriate individualized services to children, youth and families, better use of resources, and improved outcomes.

The meeting and Joint Resolution represent a new level of unity, partnership and collaboration among participating constituencies. A fundamental principle underlying this resolution is that children, youth and families are ultimately empowered across all areas. The group agreed to develop a multi-faceted strategy to promote the implementation of the Joint Resolution in policy and practice across the country. Meeting participants hope that the principles, values, and practices will be adopted and implemented by organizations, local communities, state and national associations, states, and the federal government.

Currently, there are three active work groups dedicated to the work of building bridges. The work groups are focused on:
1. Innovative Practices for Transformation;
2. Outcomes; and
3. Policy Issues.

Together we can all work to ensure access to a flexible, well-coordinated and comprehensive array of appropriate and individualized mental health services for children, youth, and their families.

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Recent Comments

This discussion needs to occur within every state. You are correct in recognizing that there has been "historical tensions between residential and community-based service providers and systems". Some of the issues that I have seen have been the lack of utilization review when exiting a residential setting to a community-based setting and of course the loss of revenue is always an issue when we are seeking to keep children and youth in a less restrictive setting within their community. This becomes even more of an issue when the efficacy of residential placements have not been proven to be effective. While I am not suggesting that we discontinue residential placements, I am suggesting that changing the mindset of providers, family members and community members is an enormous task to undertake when you are seeking to provide services in a different manner, e.g., community-based services that are family driven, youth guided, and culturally competent. Tonya Labbe, Family Coordinator for the THRIVE System of Care, Maine (6/18/07)

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