www.impactsystemofcare.org
Impact is INGHAM COUNTY’S SYSTEM OF CARE, a partnership of child- and family-serving agencies working in cooperation to provide coordinated services for children with Serious Emotional Disturbance (SED) and their families. The main goal of Impact is to BUILD AND ENHANCE HOME- AND COMMUNITY-BASED SERVICES FOR YOUNG PEOPLE WITH SED, who are at risk of out-of-home placement, and their families.
2012 CALENDAR
LADDER OF YOUNG PEOPLE’S PARTICIPATION MAXIMUM YOUTH PARTICIPATION
“I’m better at handling daily life as a result of Impact Services.” 6 MONTHS 12 MONTHS 18 MONTHS 24 MONTHS 30 MONTHS 36 MONTHS 65%
75%
84%
80%
66%
70%
9. Youth Initiated and Directed 8. Youth Initiated, Shared Decisions with Adults 7. Youth and Adult Initiated and Directed
“My child is better at handling daily life as a result of Impact Services.” 6 MONTHS 12 MONTHS 18 MONTHS 24 MONTHS 30 MONTHS 36 MONTHS 52%
63%
60%
57%
58%
69%
I am social and love meeting new people. My self-esteem is at a normal level. I appreciate my differences and have many friends. I can’t imagine myself without them. I attend school and rarely miss a day. I’m graduating in a few weeks, and life is headed in a better direction.
6. Adult Initiated, Shared Decisions with Youth 5. Consulted and Informed 4. Assigned and Informed 3. Tokenism
SINTENESHA, IMPACT YOUTH Impact youth showcase their youth voice, leadership and advocacy through the Speak Your Mind youth group, Speak Up Speak Out speakers’ bureau and representation on the Impact Stakeholders Group and Impact workgroups.
2. Decoration 1. Manipulation
MINIMUM YOUTH PARTICIPATION
January 2011 Shining Star Winner The “Ladder of Young People’s Participation” was adapted from “Hart’s Ladder” from “Youth Participation in Community Planning,” a report of the American Planning Association Innovation Center for Community Youth Development. www.theinnovationcenter.org
MICHELLE SANCHEZ Client Service Facilitator Wraparound
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I am not smoking, drinking, fighting or committing crimes. I have gone back to school and I’m graduating this year. I am proud to announce that my life is completely switched around from the way it used to be.
Impact System of Care has allowed Community Mental Health to expand the number of at-risk youth that we serve in Ingham County; become more aware of what our partners – including the Department of Human Services, Ingham County Circuit Court Family Division, schools, the community – need, and integrate that into services; and to better uphold our core values of being familydriven and youth-guided. The family-serving agencies that make up Impact all have the same goals, but our views are very different. So it is not always
THOMAS, IMPACT YOUTH
easy to uphold all of the system of care values, but there has been a real commitment to it as
OUTCOME 1 Better at handling daily life
a result of the system of care initiative. While we will not be able to make all of the Impact efforts that were federally funded for the past six years sustainable, direct service to youth and their families will continue. Our core values have been integrated into service delivery. The CAFAS data shows that youth in Impact are far better off than they were before. We address core family dynamics, family support and community support.
ROBERT SHEEHAN, Executive Director of Community Mental Health Clinton-Eaton-Ingham
Child and Adolescent Functional Assessment Scale (CAFAS). The eight domains that CAFAS measures are SCHOOL, HOME, COMMUNITY, BEHAVIOR TOWARD OTHERS, MOODS/ EMOTIONS, SELF-HARMFUL BEHAVIOR, SUBSTANCE USE and THINKING.
CAFAS Scores, 2007–2011 October 2007– September 2008
75% 31%
October 2008– September 2009
83% 32%
October 2009– September 2010 October 2010– September 2011
78%
February 2011 Shining Star Winner
AKIA BURNETT
Foster Care Worker Ingham County Department of Human Services
29% 71% N/A Proportion of youth improved Proportion not SED at exit
Scores range from 0 to 240, with scores of 50 and above indicating SED. Youth with scores of 80 and above meet the criteria for Impact services, meaning they have Serious Emotional Disturbance (SED) with a risk of out-of-home placement.
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We have discovered that through our system of care we could do more, and get better outcomes, than any of us could on our own. After a few years of working together, we saw a significant reduction in residential placements. There were
You help me see that not everything is bad.
many fewer children being removed from their families and placed in foster care. Many more families in Ingham County have been connected with needed services to support their families. We have expanded
KAYLYN, IMPACT YOUTH
services, adding community-based respite and therapeutic foster care. We’ve had success in partnering with state agencies to maximize and expand funding, which has allowed us to
OUTCOME 6 Increased community knowledge of the system of care and decreased stigma
serve more families than we could have otherwise. We have demonstrated strong outcomes. We have a great county, with committed leadership and dedicated frontline staff committed to continually challenging ourselves to improve the outcomes for our youth and families.
MATT WOJACK, System of Care Project Director
IMPACT VALUES
FAMILY-DRIVEN. YOUTH-GUIDED. ACCESSIBLE & HIGH-QUALITY SERVICES. CULTURALLY & LINGUISTICALLY COMPETENT SERVICES. INDIVIDUALIZED CARE. COORDINATED CARE. COLLABORATIVE CARE.
March 2011 Shining Star Winner
ANGELA (DAVIS) JENKINS
Foster Care Worker / MYOI Coordinator Ingham County Department of Human Services
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One of the benefits of Impact is that we work with the family and siblings of any referred youth with Serious Emotional Disturbance (SED). Working with entire families helps reduce the number of youth removed from their homes to foster care, which is a huge benefit to the youth, the family and taxpayers. Impact and other resources combined have saved the Ingham County Child Care Fund $1.1 million. With six years of federal grant support, we have built up capacity to sustain services to youth with the most severe mental health challenges. Partners have cooperated and have open mindedness. There remain differences between the partners, including mindsets on the time it takes to reach positive outcomes, but ongoing communication is the key to making the system of care successful.
I am doing really well. I have my own apartment, and I have my GED. I have learned that no matter what happens to you in the past, you can always make it better.
AMBER, IMPACT YOUTH
OUTCOME 2 Reduced need for out-of-home placements
RANDY RAUCH, Director Ingham County Department of Human Services
Any child can have these signs for a short time, but over a longer time such signs can indicate a mental health concern like SED. Impact can help determine if your child has an SED.
OUTCOME 3 Efficient use of resources
Ingham County averages 540 youths in foster care.
IMPACT HAS HELPED THE INGHAM COUNTY CHILD CARE FUND SAVE $1.1 MILLION by reducing the number of youth in foster care.
April 2011 Shining Star Winner
TRACY HUFNAGEL
Scheduling Clerk Ingham County Circuit Court – Family Division
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Impact System of Care has increased the ability for community agencies to work more collaboratively on behalf of youth and their families. That has resulted in better service delivery and more individualized family-centered services. It has provided an opportunity for the Association for Children’s Mental Health (ACMH) to increase the amount of parent-to-parent support service as well as increased our ability to partner with parents.
I get my homework done, and I’m on time to class. My mom and sister make sure of that. I enjoy writing in class. I am doing better in school, and getting caught up on my grades. I will graduate next year, and I have two jobs.
Going into the next year, we anticipate continuing Parent Support Partners service delivery, primarily through Child Welfare. We will continue to support caregivers with one-to-one service.
SCOTT, IMPACT YOUTH
Impact was successful in increasing the family and youth voice in the services. There were mechanisms put in place that provided more opportunities for them to weigh in on family support structures. We will have to see how that looks in the future.
MALISA PEARSON,
OUTCOME 3 Increased participation of families and youth
ACMH Executive Director
IMPACT PARENT SUPPORT PARTNERS are parents of children who experience emotional, behavioral or mental health challenges. Advocates partner with families to support, educate and empower them to use their voice, develop positive relationships with service providers, and develop skills to navigate the systems with which the youth and family are involved. Parent support partners are provided by ACMH, Michigan’s statewide family organization.
May 2011 Shining Star Winner
MARY STEWART-THORNTON
Protective Services Worker Ingham County Department of Human Services
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Being part of Impact System of Care gives the Lansing Police Department opportunities to better understand SED and establish
I have learned that because of how severe the abuse was, I developed a mental illness that I am not allowing to control my life. Because of the abuse I was put into 10 different foster homes and three different residential. I have learned to cope with my mental illness, and I am a lovable person.
relationships with Impact youth in noncrisis situations. Working with youth and caregiver groups helps the police gather information on community perceptions that the department needs to address.
CAPT. MICHAEL YANKOWSKI, Lansing Police Department
“A� IMPACT YOUTH
OUTCOME 6 Increased community knowledge of the system of care and decreased stigma
June 2011 Shining Star Winner
KYLE ANDERSON
Client Services Specialist Ingham County Department of Human Services Wraparound
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Annual caregiver and youth discussion groups provide
Impact
with
data
for
measuring
continuous quality improvement (CQI) indicators
I am staying home, and I am staying out of jail. I am going back to school.
as specified in workgroup plans. The 2011 fiscal year discussion groups found that participants have a positive opinion of
CHRIS, IMPACT YOUTH
Impact services overall and see them as being supportive and helpful for their family.
OUTCOME 5 A unified, familydriven, youth-guided and culturally and linguistically competent system of care for children with SED.
July 2011 Shining Star Winner
KATHY O’NEILL
Supervisor ACMH Parent Support Partners
THE IMPACT FAMILY COUNCIL
WAS FORMED IN APRIL 2006 TO PROVIDE FAMILY MEMBERS RAISING CHILDREN WITH EMOTIONAL, BEHAVIORAL AND/OR MENTAL HEALTH CHALLENGES A PLACE TO SHARE THEIR STORIES, CONNECT WITH OTHER FAMILY MEMBERS, SHAPE THE FUTURE OF SERVICES IN INGHAM COUNTY, AND LEARN SELF-ADVOCACY SKILLS. MEMBERS SERVE ON IMPACT WORKGROUPS AND SPEAK LOCALLY AND NATIONALLY ABOUT THEIR EXPERIENCES.
LADDER OF CAREGIVER PARTICIPATION MAXIMUM PARTICIPATION 6. Participating in leading efforts 5. Facilitating 4. Active participant 3. Attendee 2. Interested party 1. No involvement
MINIMUM PARTICIPATION
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IMPACT FACTS
SIGNS THAT A CHILD HAS SERIOUS EMOTIONAL DISTURBANCE (SED):
I am on medication to help me deal with the feelings from the (bullying). I am very social with my peers and have many clubs and activities that keep me going.
JESSICA, IMPACT YOUTH
• Has a hard time learning • Has a hard time making and keeping friends • Is angry for no reason • Often seems sad or hopeless with no reason • Seems to feel worthless or guilty for no reason • Seems to have more fears than others • Has lost interest in things he or she used to enjoy • Avoids friends or family and wants to be alone all the time • Often hurts others, destroys things or breaks the law
As it pertains to supporting permanency for special needs children in foster care, the success of Impact has been profound – and as a result is now an integral part of our local child welfare system.
JIM PAPARELLA, Executive Director Child and Family Charities (formerly Child & Family Services)
August 2011 Shining Star Winner
CHRISTINE SAYERS
Juvenile Court Officer Ingham County Circuit Court – Family Division
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Impact has been very valuable for all of St. Vincent children services – foster care, adoption and residential care. When child-serving agencies collaborate, we can get so many more services for kids. Impact has stepped in to help in cases where adoptions for children with mental health challenges have fallen through and they have been returned to foster care. Impact services help new foster parents stabilize kids in those circumstances. Impact also has reduced out-of-home placement. Therapists and Wraparound teams provided by Impact help us keep youth in foster homes so that they don’t have to go to residential placement. We couldn’t do that without Impact’s extra support. It is very beneficial to the Ingham County community to keep the collaborative going.
GINA VILLAS SNOEYINK, Child Welfare Program Director for St. Vincent Catholic Charities
September 2011 Shining Star Winner
BETSY PENNINGTON
Substance Abuse Counselor Prevention & Training Services (PATS)
It’s been a year since I was hospitalized and I’ll graduate high school next year.
NEICEY, IMPACT YOUTH
THE IMPACT SYSTEM OF CARE STAFF created a SHINING STAR AWARD to recognize individuals at partner agencies who go the extra mile to ADVANCE THE INITIATIVE. Award winners are nominated based on the recommendations of the recipient from the previous month. The monthly award consists of a traveling trophy and notebook, in which peers write words of praise and encouragement. Winners from October 2010 through September 2011, the initiative’s fiscal year, are featured in this calendar. All of the winners and some of the comments from their colleagues are posted under the media tab at WWW.IMPACTSYSTEMOFCARE.ORG.
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Impact provides the Lansing School District with another tool to use instead
I don’t smoke or drink, and I am trying to get my grades up so I can pass my classes. I’m on the church and dance team and part of Impact, so I can stay out of trouble.
of student suspension. Wraparound meetings held in schools help involve school personnel who are key to the student’s life in their improvement plan.
JAMES DAVIS, Lansing School District Deputy Superintendent
ZACK, IMPACT YOUTH
October 2011 Shining Star Winner
REBECCA STOWELL Juvenile Court Officer Ingham County Circuit Court Family Division
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I am sitting back and looking at my life and all the things that I have going on – my daughter, my mom, school, finding a job. It makes me feel stressed, but when it is all done, I feel accomplished.
The Ingham County Board of Commissioners thought the initial financial commitment to Impact System of Care would be worth it in the long run – and it has been. Not only has the county saved $1.2 million by keeping our children in Ingham County and out of residential care – we have data to show that the Wraparound intervention is helping them stay out of trouble, communicate better and stay in school. Additionally, because of the way the program involves families, Impact is having a ripple effect benefiting everyone in the family. The Impact initiative has truly been a win-win for our county’s citizens and finances.
REBECCA BAHAR-COOK, Ingham County Commissioner
LELAH, IMPACT YOUTH
175 YOUTHS WERE ACTIVE IN SERVICES IN FY 2011. IMPACT HAS SERVED 566 YOUTHS SINCE 2006.
OUTCOME 3 Efficient use of resources
OUTCOME 2 Reduced need for out-of-home placements
November 2010 Shining Star Winner
CHRIS MOORE
Lead Behavior Specialist Highfield’s Inc./Ingham Academy
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Impact Parent Support Partners are parents of children who experience emotional,
IMPACTSYSTEMOFCARE.ORG
behavioral or mental health challenges. They partner with families to support,
The Impact website provides a wealth of information
educate and empower them to use their voice, develop positive relationships
about the system of care initiative, including a
with service providers, and develop skills to navigate the systems with which
brochure, meeting and event calendar, a directory of
the youth and family are involved. Parent support partners are provided by
Impact partner staff members,
the Association for Children’s Mental Health (ACMH), a
annual reports, Theory of
statewide family organization and Impact partner.
Change and workgroup reports, videos and photo galleries. Visit impactsystemofcare.org.
I get really good grades. I am involved in after school activities. I have next to perfect attendance. I have a lot to care about, and I’m graduating with my class.
DOMINIQUE, IMPACT YOUTH
OUTCOME 6 Increased community knowledge of the system of care and decreased stigma
December 2010 Shining Star Winner
YASHEEMA MARSHALL
Juvenile Court Officer (FSS Program) Ingham County Circuit Court–Family Division
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WE ARE IMPACT • • • • • • • • • • • • • • • •
Association for Children’s Mental Health Boys & Girls Club of Lansing Child and Family Charities (formerly Child & Family Services) Community Coalition for Youth Community Mental Health Authority, C-E-I Cristo Rey Community Center Highfields, Inc. Ingham County Circuit Court – Family Division Ingham County Department of Human Services Ingham Intermediate School District Lansing Police Department Lansing School District Lutheran Social Services Michigan Council on Crime and Delinquency St. Vincent Catholic Charities Youth and Families from Ingham County
The art featured in this Report to the Community was created by Ingham County youth in recognition of Children’s Mental Health Awareness Day. To see all of the art that the youth have created since 2008, go to the media page at .
www.impactsystemofcare.org