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Pathways to Well-Being and Continuum of Care Reform

Pathways to Well-Being

The Katie A. class action suit was filed in 2002 against the County of Los Angeles and the State of California, alleging violations of multiple federal laws. The suit sought to
improve the provision of mental health and supportive services for children and youth in, or at imminent risk of placement in, foster care in California. The State of
California settled its portion of the lawsuit in December 2011 and in March 2013 issued the Core Practice Model (CPM) Guide.

In San Diego County Behavioral Health Services, Child Welfare Services, Probation, and family and youth partners have worked collaboratively to develop a shared vision to meet the Katie A. settlement requirements. Local delivery of Pathways to
Well-Being services began in August 2013 in an effort to ensure that the mental health needs of the youth involved in Child Welfare Services are met with the goals of safety, permanency, and well-being.

In May 2018, the CPM was revised and renamed the Integrated Core Practice
Manual (ICPM). The ICPM provides practical guidance and direction to support county child welfare, juvenile probation, behavioral health and partners in the delivery of timely, effective, and collaborative services.

Continuum of Care Reform

Continuum of Care Reform (CCR)/AB 403, initiated across California on January 1, 2017, is a fundamental change in the state’s delivery of services in Child Welfare and Probation. The principles of CCR are built around the right of all children to permanency in a family environment, access to a Child and Family Team (CFT) that includes collaborative service providers and natural supports with the youth’s voice at the center, availability to trauma-informed, culturally relevant, and individualized mental health services regardless of placement, and an increase in support and training for resource families and caregivers. The fundamental principles of CCR mirror the values and principles outlined in the ICPM.

Helpful Links

RIHS Learning Management System (LMS)
County of San Diego Home Page
Health and Human Services Agency (HHSA)
California Department of Social Services (CDSS)
Integrated Core Practice Model (ICPM) 2018
Department of Health Care Services (DHCS)
Medi-Cal Manual Third Edition 2018

Browse Resources

PowerPoints/Webinars
Pathways to Well-Being One Day Overview Training PowerPoint
CFT Facilitation Training PowerPoint
California Institute for Behavioral Health Solutions (CIBHS) Webinar/PowerPoint: Implementing Effective Child and Family Team (CFT) Meetings (2-27-15)
California Institute for Behavioral Health Solutions (CIBHS) Webinar/PowerPoint Preparing Professionals for Participation on Child and Family Teams (11-21-14)

Videos
Child and Family Team Meeting Video (October 2015) This video is a training tool that demonstrates preparation and facilitation of Child and Family Team (CFT) meetings. Please note, however, the roles of the Child Welfare Services (CWS) and Behavioral Health Services (BHS) staff members are not accurate representations of the County of San Diego CWS and BHS roles.

Other
08-CYF MEMO IHBS Prior Authorization 8.16.19
Pathways to Well-Being BHS Provider Q & A (1-9-18)
California Department of Health Care Services (DHCS) Katie A. Settlement Agreement Implementation
California Children, Youth, and Families Integrated Core Practice Model (ICPM) 2018
Pathways to Mental Health Services Core Practice Model Guide
Third Edition Medi-Cal Manual for Intensive Care Coordination (ICC), Intensive Home Based Services (IHBS), and Therapeutic Foster Care (TFC) Services for Medi-Cal Beneficiaries (January 2018)
Second Edition Medi-Cal Manual for Intensive Care Coordination (ICC), Intensive Home Based Services (IHBS) & Therapeutic Foster Care (TFC) for Medi-Cal Beneficiaries (September 2016)
First Edition Medi-Cal Manual for Intensive Care Coordination (ICC), Intensive Home Based Services (IHBS) & Therapeutic Foster Care (TFC) for Katie A. Subclass Members
San Diego County Katie A. Semi-Annual Progress Report (April 2015)
CWS Staff and Supervisors Roster
Once on the Optum page, Click on “Quick Reference” Tab and then open “ALPHA ROSTER” or “UNIT ROSTER”
The Foster Youth Bill of Rights
MHSUDS Information Notice: ICC and IHBS Lockout Removal

Pathways Bulletins

Click here for Pathways Bulletins

Tools and Forms

Brochure

Child and Family Team Brochure – English (10-2-15)
Child and Family Team Brochure – Spanish (10-2-15)

Forms

IHBS Prior Authorization Request (8-16-19)
IHBS Prior Authorization Request Explanation (8-16-19)

Child and Family Team (CFT) Meeting Note Form Fill (6-20-18)
Child and Family Team (CFT) Meeting Note Explanation (6-20-18)

Intensive Care Coordination (ICC) Note Form Fill (6-20-18)
Intensive Care Coordination (ICC) Note Explanation (6-20-18)

BHS Provider Intake Checklist (9-25-18)
BHS Provider Discharge Checklist (9-25-18)

Eligibility for PWB and Enhanced Services Form Fill (9-20-17)
Eligibility for PWB and Enhanced Services Explanation (10-27-17)

Progress Report to Child Welfare Services Form Fill (10-4-18)
Progress Report to Child Welfare Services Explanation (10-4-18)

Education Letter Template (7-10-15)

Service Codes
Service Code: ICC 82
Service Code: IHBS 83

Glossary
Glossary of Terms (12-22-17)

eLearning

Pathways to Well-Being and Continuum of Care Reform eLearning
Log on to the Learning Management System (LMS) to take the course.

Microlearning 1: What is CCR?
Microlearning 2: Why is Teaming so Important to CCR?
Microlearning 3: What will CCR provide to Youth?
Microlearning 4: What are Core Services?
Microelearning 5: Explaining CCR to Youth

Fred Finch Youth Center Child and Family Team (CFT) Meeting Facilitation Program

All mental health treatment programs (other than FFAST and Wraparound Programs) that serve youth and families who are participating in CFT meetings are required to utilize the CFT Meeting Facilitation Program.

– To connect to the Fred Finch Youth Center, Child and Family Team (CFT) Meeting Facilitation Program Referral Form and Program information:
https://www.fredfinch.org/child-family-meeting-facilitation

– To obtain the Fred Finch Youth Center, Child and Family Team (CFT) Meeting Facilitation Program Referral Form Explanation Sheet:
https://theacademy.sdsu.edu/wp-content/uploads/2018/09/child-and-family-team-cft-referral-form-explanation-8-29-18.pdf

– To obtain the Pathways to Well-Being Bulletin 2018-7: Child and Family Team Meeting Facilitation Program Rollout Mandated Utilization:
https://theacademy.sdsu.edu/wp-content/uploads/2018/12/2018-7-part-two-cft-meeting-facilitation-rollout-12-14-18.pdf

– For more information regarding Fred Finch Youth Center Child and Family Team (CFT) Meeting Facilitation Program referrals, please contact Fred Finch Youth Services Program Manager Laura McClarin at lauramcclarin@fredfinch.org or Pathways to Well-Being Program Manager Mandy (Amanda) Kaufman at Amanda.Kaufman@sdcounty.ca.gov

ICC and IHBS Expansion

Resources

ICC IHBS Expansion PowerPoint 7-1-16

ICC IHBS Decision Tree 7-1-16

Expansion Training Q & A 2-7-19

Contact Us

Pathways to Well-Being Roster

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