Delaware System of Care (SOC) Expansion & Sustainability Application - ABSTRACT
Over the past four years, Delaware has made significant changes to its children’s behavioral health care system. DPBHS has embedded family-driven care throughout all levels of the system adopted wraparound care coordination statewide, supported the development of an authentic family-run organization, and initiated family peer support services.
Although Delaware has upheld System of Care (SOC) values and principles in children's behavioral health services, DPBHS currently faces three important system development issues: 1) lack of infrastructure and capacity to meet the demand for behavioral health care services and supports for children/youth with serious emotional disturbance (SED) and dually-diagnosed subpopulations in the community, 2) lack of integration across child-serving systems for youth at-risk for residential treatment, and 3) the need for coordinated fiscal strategy and policy to support the sustainability of the expanded SOC over time.
In continuing this critical process of development, DPBHS will use highly effective strategies consistent with SAMHSA’s theory of change to bring about system transformation and improvement, including: developing infrastructure, building capacity, partnering with families and community stakeholders, embedding standards for best practice, creating avenues for collaboration across agencies, leveraging resources, and solidifying policy.
Specifically, we propose to address the five following goals to bring about systems change:
Goal 1: Transform and expand a comprehensive array of community-based services that are individualized and effective for children across systems within a family-driven, youth-guided, culturally-competent behavioral health system of care.
Goal 2: Partner collaboratively with the schools, community providers, and other key child-serving agencies to increase behavioral healthcare care integration across systems.
Goal 3: Expand family and youth involvement in all levels of SOC implementation statewide (i.e, services through governance).
Goal 4: Create and embed sustainable training and technical assistance strategy to facilitate ongoing learning, coaching, and practice improvement according to the SOC approach.
Goal 5: Sustain SOC implementation in Delaware's statewide children's behavioral healthcare.
Delaware has demonstrated over the past 20 years its ability to change effectively, embracing system of care and successfully sustaining key components of all SAMHSA grants. By establishing infrastructure, increasing access, and aligning state and local level supports, this grant will enable DPBHS to expand and sustain SOC statewide and ultimately improve outcomes for culturally- and linguistically diverse children and youth with SED and their families.