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Home > Systemwide > Service Improvement/Systems Reform > Systems of Care > Build Systems of Care in Your Community > Systems of Care Toolkit > Systems of Care Infrastructure
Systems of Care Infrastructure
The following examples of management information systems, communications and funding strategies, assessment tools, training materials and curricula, and governance structures can help ensure all children and families are served within their home communities in a culturally competent, strengths-based, and comprehensive manner. Many of these resources were initially created during the early development of systems of care. Although they may focus primarily on the mental health needs of children, they are adaptable and appropriate for use within all systems of care for families seeking support.
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Improving Child Welfare Outcomes Through Systems of Care: Building the Infrastructure: A Guide for Communities
Technical Assistance and Evaluation Center for Systems of Care, Children's Bureau (HHS) (2007)
View Abstract and Document
Designed for communities developing and implementing systems of care, this guide outlines definitions, goals, activities, personnel, and expected outcomes for the fundamental components of the infrastructure needed to support systems of care.
Improving Child Welfare Outcomes Through Systems of Care: Systems of Care: Guide for Strategic Planning
Technical Assistance and Evaluation Center for Systems of Care, Children's Bureau (HHS) (2007)
View Abstract and Document
Provides information and materials on procedures any community can use to support the planning and development process for designing a system of care.
Critical Factors in System of Care Implementation (PDF - 187 KB)
Hodges, Israel, Ferreira, & Mazza (2007)
Identifies implementation factors that communities consider critical to system of care development, categorized according to their primary role in leveraging system change: values and beliefs, goals, structures, and information sharing.
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Assessment tools
Cultural Competence Assessment in Systems of Care: A Concept Mapping Alternative (PDF - 286 KB)
Davis, Johnson, Barraza, & Rodriguez
Focal Point, 16(2), 2002
Describes how a community used a concept mapping instrument to assess cultural competence in its system of care and to develop priorities for action.
Cultural Competence Self-Assessment Questionnaire: A Manual for Users
Research and Training Center on Family Support and Children's Mental Health (1995)
View Abstract
Helps child- and family-serving agencies assess their cross-cultural strengths and weaknesses in order to design specific training activities or interventions that promote greater competence across cultures.
The Service Array in Child Welfare: A Process for Assessment and Resource Development (PDF - 1490 KB)
National Child Welfare Resource Center for Organizational Improvement (2006)
This publication assists jurisdictions in assessing their current service array in child welfare and in developing and implementing a plan to improve the service array needed to assist children, youth, and families.
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Collaboration
Collaborating With Domestic Violence Agencies: 7 Habits of a Highly Effective Collaboration
Healthy Families Illinois (2004)
This factsheet outlines effective collaboration techniques learned from the collaboration between Healthy Families Illinois and a domestic violence shelter.
Collaboration Between System of Care Communities and the Child Welfare System: Creative Ideas for How to Make it Work (PDF - 495 KB)
Collins & Marshall (2006)
Discusses the benefits that system of care communities can gain by collaborating with the child welfare system, common barriers to successful collaboration, and examples of effective approaches used by seven system of care communities.
Collaboration Strategies for Reforming Systems of Care: A Toolkit for Community-Based Action
Donaldson
International Journal of Mental Health, 34(1), 2005
View Abstract
Outlines key stages of successful community collaboration to enhance public health systems.
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Communications strategies
The Coordinated Children's Services Initiative: Principles, Achievements and Opportunities (PDF - 224 KB)
The Coordinated Children's Services Initiative (2003)
An interagency initiative that supports localities in creating systems of care to ensure that children who are at risk of residential placement remain at home with their families and in their communities.
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Descriptions of systems of care
A History and Description of Systems of Care for Children and Their Families (PDF - 34 KB)
North Carolina Developmental Disabilities and Substance Abuse Services (2001)
Hallmarks of the systems of care approach, building blocks, values and principles, and more.
Building Systems of Care for Children and Families: A Developmental Project for County-Based Systems of Care for Children With Behavioral Health Needs, Involved With Child Welfare or Juvenile Justice, and Their Families (PDF - 133 KB)
Pennsylvania Office of Children, Youth and Families (2003)
Describes a major reform initiative that will build on existing Pennsylvania polices, programs, and practices to develop systems of care, including information on components of the systems of care, project goals, the project management structure, and first year tasks and objectives.
From Tragedy to Triumph: A Segue to Community Building for Children and Families
Steves & Blevins
Child Welfare, 84, March/April 2005
View Abstract
Describes the Mental Health Connection, a Tarrant County, TX, coalition to coordinate mental health services for children with severe emotional disturbances and their families through a new systems of care model that involves Federal, private, and nonprofit resources.
Strategies for System of Care Development: Locally Identified Factors for System Implementation (PDF - 180 KB)
Louis de la Parte Florida Mental Health Institute (2007)
Identifies and defines factors affecting system implementation and how they contribute to the development of local systems of care for children and families.
Systems of Care for Children: Prospectus for Change in Wyoming (PDF - 175 KB)
Wyoming Department of Health, Mental Health Division
Identifies key components, core values, and best practices in systems of care.
Wraparound Milwaukee
Milwaukee County Behavioral Health Division
The mission of Wraparound Milwaukee is to provide cost-effective, comprehensive, and individualized care to children with complex needs and their families in Milwaukee County. The website offers forms frequently used by care coordinators, copies of policies and procedures, and other tools for communities.
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Forms
Coordinated Services Plan and Releases; Interagency Team Referral; Residential Review Team Referral (DOC - 96 KB)
Vermont Department of Developmental and Mental Health Services (2001)
Provides several forms for use in an Interagency Coordinated Services Plan.
Wraparound Plan (PDF - 37 KB)
Illinois Department of Children and Family Services (1999)
This comprehensive form for the Wraparound Plan is used to enroll and develop a plan of care for a child and family in the Illinois system of care.
Care Coordination - Frequently Used Forms - Wraparound Milwaukee
Milwaukee County Behavioral Health Division
Provides access to a number of forms used by Wraparound Milwaukee Care Coordinators.
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Funding strategies
Thinking Broadly: Financing Strategies for Comprehensive Child and Family Initiatives (PDF - 2190 KB)
The Finance Project (2002)
This guide is intended to assist policymakers, community leaders, and program developers by outlining an array of approaches to finance comprehensive community initiatives.
Mix and Match: Using Federal Programs to Support Interagency Systems of Care for Children with Mental Health Care Needs
Judge David L. Bazelon Center for Mental Health Law (2003)
A guide to developing a comprehensive funding strategy for systems of care.
RTC Study 3: Financing Structures and Strategies to Support Effective Systems of Care—A Self-Assessment and Planning Guide: Developing a Comprehensive Financing Plan (PDF - 1012 KB)
Research and Training Center for Children's Mental Health (2006)
Assists States, territories, and communities to map current financing sources and plan financing strategies to support expanded services.
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Guidelines
Guidelines on the Co-occurrence of Domestic Violence and Child Maltreatment (PDF - 555 KB)
10th Judicial District Court Services (2004)
These guidelines from the Safe From the Start project in Johnson County, Kansas, provide information on the principles, processes, and strategies used in their community initiative addressing the co-occurrence of child maltreatment and domestic violence.
Standards of Professional Practice for Serving Children and Families: A Model of Practice (PDF - 1260 KB)
Tennessee Department of Children's Services (2003)
Offers standards of practice for developing a system of care for children and families that addresses three central themes: constructive organizational culture, structures and mechanisms for seamless service provision, and family-centered casework and case planning.
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Management information systems
We do not provide direct examples of management information systems for proprietary reasons. The following resources, however, will help communities better design and implement a cross-agency management information system for systems of care.
Data-Based Organizational Change: The Use of Administrative Data to Improve Child Welfare Programs and Policy
English, Brandford, & Coghlan
Child Welfare, 79, 2000
View Abstract
Uses the example of Washington State's Case and Management Information System to illustrate the strengths and weaknesses of administrative databases, issues with their implementation and data analysis, and the effective presentation of their data at different levels in child welfare organizations.
Family and Child Tracking System (FACTS)
Delaware Department of Services for Children, Youth and Their Families
Through the use of client-server technologies and a development approach built on business process reengineering and extensive user involvement, the Delaware Department of Services for Children, Youth and Their Families has been able to improve client service by reducing paperwork, automating policy and procedure, and integrating the delivery system within the department.
Model Court Approaches to Information Technology: A Dependency Court Data System Implementation Guide
View Abstract
National Council of Juvenile and Family Court Judges (2002)
The Model Courts project has demonstrated the importance of a data-tracking system to ensure the protection and safety of children in custody. This manual provides guidelines for creating information systems in juvenile dependency courts.
National Human Services Information Technology Resource Center (NHSITRC)
U.S. Department of Health and Human Services, Administration for Children and Families
This national resource center provides tools and information to assist States in addressing many of the challenges they face in supporting both citizens and government stakeholders.
National Resource Center for Child Welfare Data and Technology
The mission of this national resource center is to assist State, local, and tribal child welfare agencies and the courts in improving outcomes for children and families through the use of information technology. They offer a selection of technology tips, tools, and trends from State, tribal, local, and court partners.
Using Administrative Data
Child and Family Research Center (2000)
In Measuring Success in Child Welfare
Presents an assessment tool for examining data collection systems and identifying future information needs.
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Staffing
Leadership Qualities in Successful Systems of Care: The Key Role of Leadership in System Implementation (PDF - 185 KB)
Ferreira, Hodges, Israel, & Mazza (2007)
Describes lessons learned about the role of leadership in system of care implementation and provides information on successful leadership strategies.
United American Indian Involvement Circles of Care Project
Native American Cancer Research
Job descriptions for an evaluator coordinator/research assistant and a community coordinator for delivering mental health services to urban American Indian and Alaska Native children and their families in Los Angeles County.
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Strategic plans
Shaping Our Future 2006-2010 (PDF - 1660 KB)
Northwest Territories Health and Social Services (Canada) (2006)
This strategic plan for providing health care and social services in the Northwest Territories includes information on strategic directions for integrated service delivery.
Strategic Planning for Child Welfare Agencies (PDF - 346 KB)
National Child Welfare Resource Center for Organizational Improvement (2004)
Highlights the Federal requirements for the planning processes for the Child and Family Services Plan and the IV-E Review Program Improvement Plans, and draws many examples from these types of plans.
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Training
Community Tool Box
University of Kansas, Work Group on Health Promotion and Community Development
Provides thousands of pages of practical skill-building information on more than 250 different topics. Topic sections include step-by-step instruction, examples, check-lists, and related resources.
Primer Hands On-Child Welfare: Training for Child Welfare Stakeholders in Building Systems of Care: A Skill Building Curriculum
National Child Welfare Resource Center for Organizational Improvement (2007)
A capacity enhancement curriculum to strengthen the knowledge base and skills of leaders involved in building systems of care. Addresses critical thinking, strategic frameworks for system building, and the elements of an effective system building process.
The San Diego Children's System of Care Wraparound Training Academy: A System Reform and Sustainability Strategy
San Diego Children's Mental Health Services
The design for the academy standardized the concept of wraparound within systems of care across multiple public and private child-serving agencies. A core message of each training is how to authentically partner with family and youth.
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