In continuing this critical process of System of Care (SOC) development, Philadelphia DBHIDS will use highly effective strategies to bring about system transformation and improvement, including: developing infrastructure; building capacity; partnering with families and community stakeholders; creating avenues for collaboration across agencies; leveraging fiscal resources; and solidifying change through policy.
Over the past four years, Philadelphia has made significant changes to its children’s behavioral health care system. DBHIDS has strengthened family/youth partnerships, implemented High Fidelity Wraparound (HFW) as an approach to youth-driven planning, supported the launch of an authentic family-run organization, and began developing the family peer support workforce.
Although Philadelphia upholds System of Care (SOC) values and principles in children's behavioral health services, DBHIDS currently faces three important system development issues: 1) lack of coordinated infrastructure and capacity for intensive community-based alternatives and supports for multisystem youth with SED and their families; 2) lack of integration across child-serving systems and community partners for youth at-risk for out-of-home placement; and 3) the need for innovative fiscal strategy and policy to support the sustainability of the expanded SOC over time. Specifically, we propose to address the five following goals to bring about systems change.
Goal 1: Transform and expand a coordinated array of intensive community-based services alternatives to out-of-home treatments for multisystem youth with SED within a family-driven, youth-guided, and culturally-competent system of care.
Goal 2: Collaborate with DHS, Community Umbrella Agencies (CUAs), providers, and community organizations to increase behavioral healthcare care integration across systems.
Goal 3: Expand family and youth partnerships in all levels of SOC implementation (i.e., direct services through governance).
Goal 4: Create and embed sustainable training and technical assistance strategies to facilitate ongoing learning, coaching, and practice improvement according to the SOC approach.
Goal 5: Sustain SOC implementation through coordinated fiscal strategy and policy.
Through intensive cross-system services provided through this grant, Philadelphia Healthy & HOME will serve 100 youth/yr in Years 1&2 and 200 youth/yr in Years 3&4 for a total of 600 youth with SED. Philadelphia has demonstrated its ability to change effectively and successfully sustaining key components of all SAMHSA grants. By establishing infrastructure, increasing access, and leveraging funding this grant will enable Philadelphia to expand SOC and improve outcomes for culturally-diverse children and youth with SED and their families.