Individualized Service Planning. (Previously Question 6 of Voluntary Agreement): Describe the process your program will use to develop and document the individual service plan that will guide intervention and assistance for each enrolled child or youth and his or her family. As noted, the RBS plan of care will anchor services in the San Bernardino County RBS System. The RBS plan of care, which includes a Strengths Assessment and a Safety Plan, is developed and implemented through a specific set of planning steps (engagement, planning, implementation and transition) that will be used by all care coordinators in the system. Documentation will be managed through the selected software system. The plan will interact with other plans needed for the treatment of the youth and family including the mental health coordinated care plan and IEP (if applicable). Upon enrollment, a care coordinator (CCT Facilitator) from VTC will meet with the youth, and, if available, the family for the first time at the RBS Enrollment Meeting. If the youth has immediate needs that have to be addressed to insure safety and stability, the care coordinator will arrange for the milieu staff and/or the CCT facilitator to provide temporary assistance. Based on these meetings, the care coordinator will craft an initial inventory of strengths, needs and goals, and identify potential members of a CCT. Bringing this group together, the care coordinator will work with them to craft a plan of care to address the unmet needs and help the family begin to achieve some of their goals and move toward connection or reconnection. If a youth‟s family relationships have been extremely disrupted, the care coordinator will begin to use family finding technology, in coordination with placing agency, to work with the youth to identify potential family members who can be appropriately invited into a circle of care, or if necessary, work with the assigned placing worker to develop an effective concurrent permanency plan. At a minimum, the care coordinator will help the youth to identify at least one adult who knows and cares about the youth and is willing to make a commitment to be an ongoing part of the youth‟s life, even if providing a home and shelter for the youth is not possible. One of the purposes of the RBS plan of care is to insure that the effort to address the youth‟s immediate need for a place to live does not undermine, but instead supports the broader goals of helping the youth achieve permanency, safety and well-being. The RBS p...
Individualized Service Planning. (Previously Question 6 of Voluntary Agreement): Describe the process your program will use to develop and document the individual service plan that will guide intervention and assistance for each enrolled child and his or her family. As noted, an Open Doors plan of care, external to the residential facility, will anchor and integrate services in the Los Angeles County Open Doors System. The Open Doors plan is developed and implemented through a specific set of planning steps (engagement, planning, implementation and transition) that will be used by all CFTs. Open Doors Plans of Care are multi-modal and multi-environmental. Multi-modal means that they act in different ways across all of the domains of the lives of the child and family as needed to use their strengths to address the key unmet needs preventing the child and family from achieving permanency, safety and well-being. Multi- environmental means that the plans also address the initial conditions and unmet needs that led to Open Doors referral in the first place One option is to use one of the beds in the residential unit to help stabilize the most erratic and difficult behaviors while more community-based options are explored, including return to family, kinship care or xxxxxx care. Upon admission, a member of the CFT will greet the child and, if available, the family. This CFT consists of a Parent Partner, CSW and CFT Facilitator, and may also include a Youth Specialist, Clinician and Family Finder. If the referral for Open Doors has been arranged via a TDM/RMP, the CFT Facilitator will contact the DCFS Wraparound liaison who was in TDM/RMP to make sure that RMP identified concerns are heard and respected and subsequently reflected in the plan of care. If the child has immediate needs that have to be addressed to insure safety and stability, the Facilitator will arrange for the CFT to provide temporary assistance (via Youth Specialists and Clinicians) based on a Safety Plan which is part of the plan of care and can be modified as needed. Based on these meetings, the CFT will craft an initial inventory of strengths, needs and goals, and identify other potential members of a child and family team (such as an education liaison, TBS staff, etc.). Bringing this group together, the Facilitator will work with them to craft a plan of care to address the unmet needs and help the family begin to achieve some of their goals and move toward connection or reconnection. If a child„s family relationships have be...
