· IChild and Youth Mentorship include wraparound services to align strategies, interventions, and supports for the child/youth and family to prevent the need for out of home placement.
· Services may be utilized in maintaining stabilization, preventing crisis situations, and/or de-escalation of crisis situations.
-Crisis is an event, series of events, and/ or state of being greater than normal severity that becomes outside the manageable range for the child/youth and/or their caregivers and poses a danger to self, family, and/or community.
-Crisis may be self-identified, family identified, and/or identified by an outside party.
· Identification of unique strengths, abilities, preferences, desires, needs, expectations, and goals of the child/youth and family.
· Identification of needs for crisis prevention and intervention include:
a. Cause(s) of crisis and triggers that could lead to crisis.
b. Physical and behavioral health factors.
c. Education services.
d. Family dynamics.
e. Schedules and routines.
f. Current or history of police involvement.
g. Current or history of medical and behavioral health hospitalizations.
h. Current services
i. Adaptive equipment needs.
j. Past interventions and outcomes.
k. Immediate need for resources.
l. Respite services.
m. Predictive risk factors.
n. Increased risk factors.
· Development of a Wraparound Plan that includes action steps to implement support strategies, prevent and/or manage future crisis.
· Coordination among family caregivers, other family members, service providers, natural supports, professionals, and case managers required to implement the wraparound plan.
· Dissemination of wraparound plan to all involved in the plan implementation.
· Child and Youth Mentorship.
· Identification of follow-up services that may include:
a. Evaluation to ensure that triggers to crisis have been addressed in order to maintain stabilization and prevent crisis.
b. Ensure that follow-up appointments are made and kept.
· The wraparound plan incorporates all relevant supports, services, strategies, and goals from other service/treatment plans in place and serves as a single plan for all supports a child/youth and family needs to maintain stabilization, prevent crisis, and/or for de-escalation of crisis situations. This plan will include:
a. Environment modifications.
b. Support needs in the family home.
c. Respite services
d. Strategies for crisis triggers.
e. Strategies for risk factors.
f. Learning new or adaptive life skills.
g. Counselling/behavioral or other therapeutic interventions to further stabilize that individual emotionally and behaviorally and decrease the frequency and duration of future behavioral crises.
h. Medication management and stabilization.
i. Physical health.
j. Identification of training needs and connection to training for family members, natural supports, and paid staff.
k. Determination of criteria for stabilization in the family house.
l. Identification of how the plan will fade out once the child/youth has stabilized.
m. Contingency plan for out of home placement.
· Evaluation of the wraparound plan occurs at a frequency determined by the child/youth’s needs. Evaluation includes:
-Visits to the child/youth’s home
-Review of documentation
-Coordination with other professionals and/or members of the team to determine progress.