The Deschutes County Comprehensive Community System of Care Expansion of Services for Children with Serious Emotional Disturbances (SED) Project will focus on increasing access to collaborative, culturally relevant, coordinated,family driven, and community-based services for children and youth with serious emotional disturbances and other mental health disorders in Deschutes County, Oregon's fastest-growing county. Young residents diagnosed with other serious mental illness (SMI), including substance use disorders (SUD), co-occurring disorders (COD), and first episode psychosis (FEP) will also be served by further development of the existing System of Care (SOC) Governance Structure through a process that will optimize participation of parents and other system providers of services to children and youth. A multifaceted, strategic financing plan that leverages these partnerships will also result from this process. Along with the goal of increased access, the project's other goals are: individuals serviced will experience improved behavioral and physical health and functioning; clients will receive person- and family-centered, trauma-informed care; all sources of available funding / support will be optimized in order to facilitate each client's positive outcomes; and capacity of clinical, culturally-relevant competencies will be maximized in the behavioral health workforce. The number of additional, unduplicated clients served by the SOC expansion grant will increase by 200 in Year One, 225 in Year Two, 250 in Year Three, and 275 in Year Four.
Measurable objectives will include the following:
* By January 1, 2021, and annually thereafter, 100% of SOC staff will receive training in serving LatinX, Native American, LGBTQ+ and other diverse communities.
* By September 1, 2021, the number of youth and young adults served who present with clinical high risk for psychosis or SMI will show a 20% increase.
* By September 1, 2021, individuals having received 6 months or greater of service will show at least 2 resolved identified needs on the Child and Adolescent Needs and Strengths tool.
* By July 1, 2021, 100% of service plans will document client and/or family/guardian participation and strategies for coordinating with other system partners.
* By December 1, 2020, family and youth partners' participation will increase to 51% of membership for each of the governance structures.
* By February 1, 2021, SOC partners, families and youth, will utilize data to inform practices, evaluate service effectiveness and inform the decision-making process in order to create a charter that outlines the authority, data monitoring accountability and operating procedures for each of the four levels of the SOC governance structure -- Review Committee, Practice Level Work Group, Advisory Council and Executive Committee -- that incorporates Wraparound principles and values.