One Community’s Partnership with Juvenile

JusticeDawn Project 2004

Marion County, Indiana

Multiple CustomersFamilies

Juvenile ProbationProvidersFunders

One Philosophy of Care

Philosophy of CarePhilosophy of Care

• Build on strengths to meet needs• One family/client - One team - One Plan• Flexible integration of formal and informal

resources• Family Access, Voice and Ownership (Choice)• Responsive assistance that is community-

based, culturally competent and family-centered

• Maintain primary relationships over time and trouble

PLAN

Case ManagerSchool

FamilyJuv Probation

Child WelfareMental Health/Substance Abuse

Care Coordinator

Individualized Care Plan

Single point of Communication

FAMILIES DON’T FAIL--PLANS DO

Legal Home/Place to Live

Financial

Social/Recreational

Educational Vocational

Family / Relationships

Safety/Crisis Health/Medical

Mental Health & Substance Abuse

Life Domains: a framework for Strength Based Care

Cultural/Spiritual

Child WelfarePermanency, safety

Doctor’s orders

ProbationJuv. Crt Order

Mental HealthPlan and Substance use

assessment

School PlanIEP, Gen Ed.

Family Plan

Assess Strengths

& Needs for each

SpecialEducation

Juvenile Justice

Child Welfare

Department ofMental Health

$4,090 + $166 = $4,256 PMPM

OR

OR

Case Rate Mechanism

Referral sources

Community Provider Network

Behavioral HealthBehavior managementCrisis interventionDay treatmentEvaluationFamily assessmentFamily preservationFamily therapyGroup therapyIndividual therapyParenting/family skills trainingSubstance abuse therapy, individual and groupSpecial therapy

PsychiatricAssessmentMedication follow-up/psychiatric reviewNursing services

MentorCommunity case management/case aideClinical mentorEducational mentorLife coach/independent living skills mentorParent and family mentorRecreational/social mentorSupported work environmentTutorCommunity supervision

Provider Network, Continued

PlacementAcute hospitalizationFoster careTherapeutic foster careGroup home careRelative placementResidential treatmentShelter careCrisis residentialSupported independent living

RespiteCrisis respitePlanned respiteResidential respite

Service CoordinationCase managementService coordinationIntensive case management

OtherCampTeam meetingConsultation with other professionalsGuardian ad litemTransportationInterpretive services

DiscretionaryActivitiesAutomobile repairChildcare/supervisionClothingEducational expensesFurnishings/appliancesHousing (rent, security deposits)MedicalMonitoring equipmentPaid roommateSupplies/groceriesUtilitiesIncentive money

ResidentialTreatment

Valle Vista

LutheranChild & Family

Pleasant Run

Charter

RTCResources

Children'sBureau

Indiana Dev.Trng. Center

Resolute TxFacility

MeadowsHospital BHC

Indiana UnitedMethodist

Villages

$6,749,949

Foster Care

NOAH

Betty Bledsoe

Villages

Children'sBureau

Pleasant Run

Frank & VirgieBrame

CarleneStevens

Amy Loss

Traci Mays

Fannie Dixon

$384,107

TreatmentFoster Care

Mentor Indiana

Pleasant Run

NOAH

Villages

Children'sBureau

SAFY

Indiana YouthAdvocate

Camelot CareCenters

Lennon &Assoc.

MasselineHolmes

$1,196,900

Group Home

Pleasant Run

Children'sBureau

Visions GroupHome

MidwestPsychological

Villages

St. Elizabeths

BehavioralHealthcare

Lennon &Assoc.

$905,503

BehavioralHealth

JodatiServices

Family Works

GeorgetteBoneham

Indiana HealthGroup

Giant Steps

Pleasant Run

NOAH

Debra Dineff

White-Mountain

Consulting

LovadeMerriweather

29 otherproviders

$1,508,737

Mentoring

Indiana HealthGroup

LutheranChild & Family

Pleasant Run

Giant Steps

City Trax

NOAH

Polly Frank

RupertBoneham

Midtown MHC

YouthEmpowerment

Services

25 otherpartners

$3,240,232

Respite

Visiting NursesService

NOAH

Betty Bledsoe

Indiana HealthGroup

YouthEmpowerment

Debra Sims

Mentor Indiana

Faith TeachingChurch

RupertBoneham

Children'sBureau

$359,140

ServiceCoordination

Midtown

Adult & Child

BehaviorCorp

Gallahue

$491,358

Dawn Project Community Partners - 2000

The Dawn Project has used over 550 Marion County service providers and community resources to provide all of the services to youth and theirfamilies during the past three years. This is an elaborate web of providers representing various community agencies, which are accessed by eachchild and family team. This provides a solid network of support for youth and families to meet their individualized needs.

Flex Funds -$244,432Housing $57,064 23%

Activities $41,259 17%

Utilities $30,727 12%

Supplies/Groceries $24,465 10%

Transp - contracted $20,875 9%

Clothing $20,858 9%

Incentive $9,391 4%

Furnishing/Apps $9,026 4%

Automobile $9,024 4%

Legal $5,781 2%

Transp – reimbursed $5,026 2%

Medical $4,873 2%

Dawn 1000• 7 years of service to Child Welfare, Juvenile

Probation, Education and Mental Health• 330 Juvenile Probation Youth served to date• 979 clients enrolled and served• 180 active clients• 67% are ages 11-14 years old• 70% are male• 67% have identified Special Education needs• 68% are African American/Bi-racial• 65% are Medicaid eligible

SERVICE COSTS %

0%10%20%30%40%50%60%70%80%90%

100%

Overall DOE JCP OFC

Placement

Mentoring

Behavioral health

Respite

Coordination

Discretionary

Medical

TOP FIVE SERVICE COSTS

Ed – 18% JJ – 39% CW – 43% 1. Educational mentor 1. Residential treatment 1. Residential treatment

2. Residential treatment 2. Educational mentor 2. Treatment foster care

3. Clinical mentor 3. Clinical mentor 3. Group home

4. Family therapy 4. Treatment foster care 4. Crisis residential

5. Community supervision

5. Community supervision

5. Foster care

Building a Lasting Partnership

• Cooperation– Shorter term informal relations, sharing info

– one way

• Coordination– More formal relationships and understanding

of missions – no money shared or pooled

• Collaboration– Durable and pervasive relationship with full

commitment to a common mission – everybody pays, everybody shares, (give and take)