The purpose of the Coordinated Children's Service Initiative
(CCSI) is to advance the development of a system of care for
children and youth with mental health challenges in New York
City. A system of care is defined as a comprehensive spectrum
of mental health and other necessary services which are organized
into a coordinated network to meet the multiple and changing needs
of children and adolescents with serious emotional, social and
behavioral challenges and their families. (Stroul and Friedman,
1986, 1996)
The New York State Children's Plan, developed in response to the
Children's Mental Health Act of 2006, is a blueprint for how
government agencies, in partnership with families and youth, can
improve the social and emotional development of children and their
families; and reflects our collective goal to achieve social and
emotional well-being for all children across community and agency
boundaries.
In NYC the Children's Plan
Committee, comprised of youth, family members, and government
representatives, convened a Children's Plan Roundtable Discussion
on December 11, 2009, to identify top priority issues and develop
NYC specific cross-system action plans. The focus was on two
populations, children 0-5 years old and young adults ages 16-25
(transition age youth), that would benefit from extensive
interagency collaboration and cross systems support. Roundtable
participants proposed multiple initiatives to address the following
top priority issues, as well as serve as the basis of these action
plans.
Identified top priority issues for transition
age youth (TAY) and children 0-5 years old:
1)
The need for a collaborative
approach to enable TAY to access appropriate housing and develop
skills for independent functioning.
2)
The need for youth service plans
to be youth-guided and coordinated across all agencies with shared
accountabilities for outcomes.
3)
The need to enhance support for
traumatized children 0-5 years old.
Subsequent meetings were organized to focus on
the proposed TAY and early childhood initiatives. During these
meetings a select group of participants vetted each of the
initiatives against the following parameters listed below.
Initiatives that met all seven parameters were prioritized as items
to work on and accomplish by January 2011.
1.
Initiative enhances cross-system
work and does not duplicate initiatives that are under way
2.
Initiative requires cross-system
solutions and is not the sole responsibility of one child- or
adult-serving agency
3.
Initiative addresses gaps in
existing system
4.
Initiative can be supported
within current resources
5.
Initiative can be incorporated
into systems' current practices and programs
6.
Initiative is achievable by January 2011
7.
Program/agency staff is committed and available to
the planning and implementation of the initiative
The original TAY initiatives were further
defined and condensed into the following four general topics of
focus: skills set for TAY, housing, accessing information, and
cross-system youth voice. Participants then refined the language of
each initiative to clearly state the focus of the initiative to be
accomplished.
1.
Skill Set for TAY: Have city/state agencies working
with TAY agree on a set of skills for successful transition to
adulthood and disseminate this information. (Leadership: Ronni
Fuchs, Director of Youth Advocacy and Support Services, NYC
Administration for Children's Services and Judy Blunt, Hunter
College)
2.
Housing: Develop a set of standards for housing and
supportive services for TAY with the goal of TAY being successfully
housed throughout their lives. (Leadership: Nina Aledort, Assistant
Commissioner for Program Services at the NYC Administration for
Children's Services - Division of Youth and Family Justice
(formerly DJJ), and Jim Bolas, Director of Education, Empire State
Coalition of Youth and Family Services)
3.
Accessing Information: Identify and map existing
services for TAY and develop a communication plan for youth,
families, providers and government agencies. (Current Leadership:
Susan Thaler and Myla Harrison)
4.
Cross-System Youth Voice: Develop a cross-system
youth forum where youth advocates can network and provide feedback
to agencies (Leadership: Brian Lombrowski, Youth Involvement
Specialist)
Additionally the NYC Early Childhood Mental
Health Strategic Workgroup of the DOHMH Federation of Mental
Health, Substance Abuse and Mental Retardation and Developmental
Disabilities was identified as an existing cross-systems group to
address the early childhood initiatives. Initiatives proposed
during the initial Roundtable Discussion were prioritized and the
following will be focused on this year. (Leadership: Evelyn Blanck,
Chair of the Early Childhood Mental Health Strategic Workgroup,
Co-Chair of the Federation, and Associate Executive Director of the
New York Center for Child Development).
1.
Develop cross systems consensus on the definition and
levels of trauma.
2.
Develop a protocol to utilize peer review to help
agencies improve awareness and sensitivity to trauma.
3.
Develop an instrument and suggest a protocol for
uniform screening and early detection of trauma; train staff and
educate families.
4.
Create an educational campaign and materials to
enhance the understanding of trauma.
5.
Assemble agencies involved with domestic violence to
develop strategies for supporting families and young children in
domestic violence situations.
Workgroups for each of these initiatives were
formulated with recommendations for facilitators and participants
based on experience, expertise and interest in the specific topic.
Identified workgroup participants represent child and adult serving
agencies as well as community based providers, families and youth.
Each workgroup is responsible for developing a work plan to guide
workgroup tasks, milestones and goals, as well as communicate the
strategy on how work will be accomplished by January 2011.
The NYC Children's Plan
Governance Committee
The Citywide Oversight Committee (COC) will
convene quarterly each year to specifically address governance of
the NYC Children's Plan. These meetings will occur on Thursdays
from 9-11:00AM on 4/1/10, 7/1/10, 10/7/10, and 1/7/11. The
participants of the Roundtable Discussion and the leaders of the
workgroups are invited to these meetings.
The role of the COC as NYC Children's Plan
Governance Committee will be to:
·
Assist workgroups with strategic planning and
addressing challenges to meeting the goals;
·
Monitor and evaluate progress/accomplishments of
workgroups;
·
Promote workgroup accomplishments and
recommendations; and
·
Identify future issues/gaps and initiatives related
to The Children's Plan.