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Presented at the 22nd Annual Research Conference

Financing Strategies that Support Effective Systems of Care

Download Handouts: 374 KB pdf

Session Number: 36 Room: Salon A-B

Presentation Type: symposium

Chair: Mary Armstrong Discussant: Bill Hudock

Synopsis: The purpose of this symposium is to present findings from this study in three areas that are critical to system of care development: financing to support systems of care for young children, financing for evidence-based practices, and financing to support a care management entity for children with serious mental health problems. The overall purpose of the study is to develop a better understanding of the critical financing structures and strategies that support effective systems of care for children and adolescents with behavioral health disorders and their families and to understand better how these financing strategies operate separately and collectively. The study uses a participatory action research approach, promoting a continuous dialogue and engagement with key users on study methods, findings, and products. Initial study tasks included convening a panel of financing experts, including state and county administrators, representatives of tribal organizations, providers, family members, and national financing consultants to develop a list of critical financing strategies and study questions. The critical financing strategies were used to create the first study product – a Self Assessment and Planning Guide: Developing a Comprehensive Financing Plan that addresses seven important areas to assist systems or sites (states, tribes, territories, regions, counties, cities, communities, or organizations) to develop strategic financing plans for building systems of care. The study uses a multiple case study design, and data collection and analysis includes a mix of qualitative and quantitative methods. The study team has completed all data collection activities, including 10 face-to-face visits to states and communities as well as three conference calls to an additional three sites with promising financing strategies and structures.

Date: Tuesday, March 3, 2009

Session Time: 1:30 PM - 3:00 PM

Implementing and Financing Evidence Based Practices in Systems of Care

We're sorry, handouts are not available for this presentation.

Presenting: Sheila Pires; James Wotring

All Authors for this paper: Sheila Pires; James Wotring

Presentation Type: element of symposium

Synopsis: This presentation presents implementation and financing of evidence-based practices within systems of care (SOC). It will share findings from SOC sites implementing evidence-based practices, drawing on findings from the national study on Effective Financing Strategies for Systems of Care and on work done through the National Implementation Research Network (NIRN). The presentation will also discuss financial implications of building infrastructure necessary to support the implementation of evidence-based and promising practices within a SOC, drawing on work from NIRN.

Re-Directing “Deep End” Spending Through Care Management Entities

We're sorry, handouts are not available for this presentation.

Presenting: Sheila Pires; Mary Armstrong

All Authors for this paper: Sheila Pires; Mary Armstrong

Presentation Type: element of symposium

Synopsis: The presenters will discuss state and local efforts to re-direct spending from restrictive, expensive services (i.e., “deep end” spending) to home and community-based services and supports through the use of Care Management Entities. Care Management Entities employ a high fidelity wraparound approach, dedicated care coordinators and, typically, parent partners to wrap home and community-based services and supports to reduce use of restrictive and expensive services (e.g., residential treatment, inpatient care) and improve clinical and functional well-being.

Financing Early Childhood Systems of Care

We're sorry, handouts are not available for this presentation.

Presenting: Beth Stroul; Ginny Wood

All Authors for this paper: Beth Stroul; Ginny Wood

Presentation Type: element of symposium

Synopsis: National study findings cover multiple strategies for financing early childhood mental health services within the framework of a system of care approach, including an array of services and clinical interventions. Financing strategies for these services and supports will be outlined, including strategues for financing evidence-based practices and trauma-based therapies. Financing approaches for community and state-level infrastructure will be reviewed, as well as for implementing a wraparound approach to service delivery for young children and their families.