Service Categories: (each category of equal importance)
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1 New Jersey Department of Children and Families Child Behavioral Health Services Family Support Organization (FSO) Roles and Responsibilities and Contract Deliverables August 2006 (updated) Core Principles for FSO Participation in the New Jersey Department Children and Families (DCF), Child Behavioral Health Services (CBHS) (Formerly the Partnership for Children) FSOs are full and equal system partners and an essential and integral component with responsibility to ensure family voices are heard and incorporated into the Child/Family Team process and ISP planning and implementation. FSOs provide leadership through activities at all levels that encourage fidelity to fundamental principles of family-focused/family-driven, child-centered, strength-based service planning and delivery. These activities are provided through equal partnership with CMOs that have primary responsibility and authority for organizing and providing care management to enrolled families and their children with complex needs through design, implementation, management and coordination of Individual Service Plans. As a system partner, the FSO will work with and provide feedback to the CMO and all system partners to ensure the system is functioning in the best interest of families and children. The FSO will provide community outreach, education, advocacy, information/referral services, assist in accessing benefits and services and will offer peer support groups for families with children having emotional and behavioral challenges. It will participate in strategic partnership activities, system feedback, community outreach, support, education and advocacy and provide direct peer-to-peer support for enrolled CMO families
2 FSO services purchased and delivered through contract with the DHS, CBHS will be based on a comprehensive model of community development and peer support that manages resources effectively and efficiently. Basic FSO service guidelines include: o FSOs will actively recruit and organize community volunteers and develop multifaceted peer support groups. o FSO administrative staff will engage in ongoing outreach and training to all system partners (Providers, DYFS, JJS, MH, Education) to promote the role of the family in the PFC and encourage appropriate and effective participation by FSOs as system partners. o FSO staff and volunteers will work with the CMO and Child/Family process through ongoing education and coaching of appropriate and effective attitudes and behaviors. o Peer support for CMO families during initial engagement and the Interim Service Planning process, with intensity of support matched to family need. Trained family support partners will be utilized for individual, face-to-face support for families requiring this level of intensity. Service Categories: (each category of equal importance) Peer-to-Peer Support FSO/CMO Strategic Partnership Education and Advocacy Community Outreach - 2 -
3 SERVICE CATEGORY FSO/ CMO STRATEGIC PARTNERSHIP DHS, CBHS EXPECTATIONS AND DELIVERABLES CMO/ FSO working relationship that includes: coaching and training on familyfriendly ISP and care management processes to CMO staff. Collaboration on community-based resource/service development. Suggestions for CMO/FSO joint collaboration: FSO (Director) participates in Care Manager hiring process; CMO Director participates in FSO hiring process FSO to co-write selected materials and sponsor activities with CMO Mutual drop-in policies Between CMO/FSO staff FSO ACTIVITIES/TASKS TIME FRAMES MEASUREMENT/ PRODUCTS Joint FSO/CMO Monthly meetings for FSO input on care management approach to family issues, and for FSOs to Documentation receive feedback from in: CMO staff on FSO interventions with FSO Monthly families. Service Report FSO staff to attend CMO training and community activities and CMO staff invited to same FSO/CMO executive Monthly or directors meet to resolve more issues and develop joint frequently if strategies to assist needed families FSO consults with care managers on nonspecific (strategic, policy/procedures etc) families issues. CMO staff consults with FSO as well
4 SERVICE CATEGORY EDUCATION AND ADVOCACY DHS, CBHS EXPECTATIONS AND DELIVERABLES Organization and delivery of: System Partner education through presentations and forums on family issues and needs, and the role of the FSO. FSO to communicate family/friendly, parent/professional messages to various local audiences. System partner training for effective engagement and support for families in the Child/Family Team Process. Participation in local and state policy committees and work groups as organized by DHS, CBHS. Help families understand Medicaid, NJ Family Care eligibility and support application FSO ACTIVITIES TIME FRAMES MEASUREMENTS/ PRODUCTS Method of communication will include: Presentations/Training Participation in group activities Public Relations activities Key stakeholder audiences will include county based: DYFS JJ Medicaid Schools Provider groups CCIS CIACC/CART Child Advoc. Orgs. Other Child/Fam. Orgs. Families Become aware of family response to system and services and provide feedback at state and local levels. Ongoing in each communication category with at least 2 presentations monthly to stakeholder audiences. By end of contract year, all stakeholders will receive one or more presentations. Documentation in Monthly Service Report - 4 -
5 process for families. SERVICE CATEGORY COMMUNITY OUTREACH DHS CBHS EXPECTATIONS AND DELIVERABLES Through outreach and marketing, identify and serve a growing body of families at the local county (s) level by offering educational forums, peer support groups, advocacy and volunteer opportunities FSO ACTIVITIES TIME FRAMES MEASUREMENTS/ PRODUCTS Create processes for ongoing recruitment, training, and organization of family volunteers. Develop: Mailing list of families for sharing of information Identify numbers and use of mailing list during course of year. Create a network of peer/family volunteers matched appropriately with a range of peer support roles and responsibilities peer support groups, information groups, classes and community forums for promoting family values and perspectives, and to engage the community in networking and mutual support Build a communitybased network of families available for peer-to-peer support and other FSO volunteer activities. 3 peer support groups/class es to meet monthly. Community Education forum every 2 months. Document in Monthly Service Report Document in Monthly Service Report. 20 peer volunteers - 5 -
6 during year 2. COMMUNITY OUTREACH (CONT D) Depending upon local need, volunteers may participate in: Phone Tree Delivery of direct Peer Support Attendance at local policy meetings/committees *Respite/child care for fellow families IEP Meetings Advocacy activities Other A Warm Line for help and information Linkage with NJMHI for ongoing training and technical assistance of staff and available during business hours Report numbers (phone log) in Monthly Service Report *Need for adequate training and oversight Build a community based Youth Partnership network. Youth Partnership Network will include support, education and advocacy beginning in second year of contract. Document in Monthly Service Report
7 SERVICE CATEGORY DIRECT PEER- TO-PEER SUPPORT FOR CMO FAMILIES DHS CBHS EXPECTATIONS AND DELIVERABLES Peer To Peer Support will be provided within budget parameters at discretion of Executive Director and according to needs of family. Maximum direct Peer - To - Peer support provided during initial month (s) of ISP process (engagement and first child/family team) by trained family support partners to a majority (90%) of CMO families. Peer/family volunteers to provide direct peer support later in ISP process, if requested by family. FSO ACTIVITIES Family Support Partner and Care Manager will make joint engagement visit (within 72 hours) to enrolled CMO families. If not possible FSO will make separate visits. FSO will timely notify CMO of critical incidents and when support partners are no longer involved with families. CMO will timely notify FSO of team meetings, rescheduled meetings, critical incidents. Following activities provided to families who request FSO services: Assistance in understanding PFC process and in communicating family needs to CM. Support for families to engage in Care Management process TIME FRAMES MODEL See Expectations and Deliverables Column; See critical incident policy. MEASUREMENTS/ PRODUCTS Record number of families served on Monthly Service Report
8 Community resource linkage DIRECT PEER- TO-PEER SUPPORT FOR CMO FAMILIES (CONT D) Peer-To-Peer Support delivered by a Family Support Partner will: Provide explanation of role and function of FSO to newly enrolled CMO families Ensure family voice is incorporated into ISP process through communication with Care Manager Listen to family needs, concerns from peer perspective, offering suggestions for engagement in Care Management process Help family identify and use natural support system and other community resources (in concert with CMO community resource staff member). Encourage, refer family to attend peer group and Linkage to peer network. Consultation, if needed, to Care Managers on ISP management after discussion with families. Record number of families served on Monthly Service Report. Family Support Partners to maintain brief record of each family contact with discussion notes
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