Executive Summary
Blueprint for 2016 – 2020
In FY 2015, Board of Supervisors' funding created a new program unit to implement a System of Care (named Healthy Minds Fairfax in 2017) model by connecting the continuum of supports and services across county agencies, Fairfax County Public Schools and community partners. The new unit was charged with developing new policies and procedures on providing care coordination and service delivery, as well as oversight, to the various entities delivering services along the continuum.
Additionally, the new unit was to be responsible for implanting contractual services for individuals with emerging mental health and substance use issues. In November and December 2015, under the capable facilitation of a senior policy associate from the Georgetown University National Technical Assistance Center for Children’s Mental Health, a 30 member planning team comprised of county human service staff, school staff, non-profit representatives, family organizations, family representatives, and George Mason University faculty was convened. This planning team was charged with developing a vision and mission for the initiative and establishing goals, strategies, and action steps and a timetable for their accomplishment.
The following comprises the work of the planning team in the development of the fifteen goals that make up the blueprint of Healthy Minds Fairfax, the Fairfax-Falls Church System of Care for children, youth and families.
Goal 1: Deepen Community System of Care Approach
Deepen the system of care approach to inform the entire continuum of behavioral health services for children, youth and families through:
- A governance structure that guides the entire continuum,
- Financing strategies that support sustainability and improve capacity and,
- Continuous improvement to service quality and access.
Increase collaboration through the implementation of a cross-system data sharing.
Increase the presence and effectiveness of family leadership through a sustained family-run network.
Use social messaging to promote awareness and help seeking behaviors and reduce the stigma surrounding mental illness and behavioral health care.
In an effort to accomplish the above, strategies revolve around educating and informing the public to increase their understanding of mental illness, its signs and symptoms and how to support others to get help. It also addresses involving youth to combat stigma and creating a speaker’s bureau of approved presenters for the school and community to access.
Goal 5: Youth and Parent/Family Peer Support
Develop and expand youth and parent/family peer support services.
Educate/inform/assist families on how to access services and navigate the system to include developing an accurate and accessible database of behavioral health care providers that includes information on if they are accepting new clients, if they accept insurance and their areas of expertise.
Goal 7: Care Coordination and Integration
Improve care coordination and promote integration among schools, primary care providers and mental health providers, including the integration of primary and behavioral health care.
More and more research points to the efficacy of integrating primary and behavioral health care. In that vein, strategies here relate to providing behavioral health consultation to primary care providers, implementing tiered levels of integration and increasing the use of behavioral health screenings and referrals in primary care settings.
Implement targeted strategies to address disparities in outcomes and access based on race, ethnicity, sexual orientation, socio-economic status, geography and other factors.
Strategies involve increasing access and availability to behavioral health services for underserved populations, using Culturally and Linguistically Appropriate Services standards, training in cultural competence for County, Fairfax County Public Schools and County-contracted providers along with additional support structures for LGBTQ youth.
Reduce the incidence of youth suicide in our community.
As we continually work to provide a safe and supportive community for our children and youth, the focus in this goal addresses developing universal suicide and/or depression screening protocols for community organizations; having guidelines for service providers on the availability and effective use of crisis services, developing a common and coordinated approach to youth suicide postvention; continuing and promoting the suicide prevention hotline and text line; and training behavioral health providers in evidence-based practices for suicidal youth.
Goal 10: Evidence-Based and Informed Practices
Increase the availability of and capacity for evidence-based practices/interventions along the continuum of prevention through treatment.
Goal 11: Trauma-Informed Care Community
Enhance the community’s ability to effectively identify and respond to children and families who have been exposed to trauma.
Goal 12: Behavioral Health Intervention
Address the needs of children and youth with emerging behavioral health issues who have not been able to access appropriate, timely and matching treatment services in the community.
Develop an improved service network for high risk children to include appropriate evidence-based practices, care coordination, and crisis intervention/stabilization, in order to improve the outcomes for those served.
Develop expanded continuum of care of services for youth with Developmental Disabilities/Autism.
These strategies identify that a needs assessment and service inventory of existing services and supports is necessary to identify critical service gaps for this population leading to a plan that will be developed to address the critical service gaps; that an outreach campaign and social messaging will help to promote earlier identification of children with DD/Autism; and that this population needs additional transition planning, access to crisis stabilization, case management, care coordination along with a community awareness campaign educating the community about the special needs of these children and youth.
Goal 15: Transition Age Youth
Provide coordinated services and supports for youth and young adults of transition age, both those still in school and those who have left school. Reduce the number of youth of transition age who are living with unidentified and untreated serious mental illness who have signs and/or symptoms of a serious mental health condition that emerged before they transition out of youth-serving systems/programs.