75th OREGON LEGISLATIVE ASSEMBLY--2009 Regular Session
HA to HB 2144
LC 1019/HB 2144-2
HOUSE AMENDMENTS TO
HOUSE BILL 2144
By COMMITTEE ON HUMAN SERVICES
April 16
On page 1 of the printed bill, delete lines 8 through 27 and
delete pages 2 and 3 and insert:
' (2) 'Family' includes, with respect to a youth:
' (a) A biological or legal parent;
' (b) A sibling;
' (c) An individual related by blood, marriage or adoption;
' (d) A foster parent;
' (e) A legal guardian;
' (f) A caregiver;
' (g) An individual with a significant social relationship with
the youth; and
' (h) Any person who provides natural, formal or informal
support to the youth that the youth identifies as important.
' (3) 'Family-run organization' means a private nonprofit
entity organized for the purpose of serving families with a youth
who has a serious emotional disorder that:
' (a) Has a governing board in which a majority of the members
are family members of a youth with a serious emotional disorder;
and
' (b) Gives a preference to family members in hiring decisions
for the entity.
' (4) 'Identified population' means youth who have or are at
risk of developing emotional, behavioral or substance use related
needs, and who are involved with two or more systems of care.
' (5) 'Partner agency' includes the Department of Education,
Oregon Youth Authority, Department of Human Services, State
Commission on Children and Families and other appropriate
agencies involved in the system of care.
' (6) 'Services and supports' means public, private and
community resources that assist youth in the achievement of
positive outcomes.
' (7) 'System of care' means a coordinated network of services
including education, child welfare, public health, primary care,
pediatric care, juvenile justice, mental health treatment,
substance use treatment, developmental disability services and
any other services and supports to the identified population that
integrates care planning and management across multiple levels,
that is culturally and linguistically competent, that is designed
to build meaningful partnerships with families and youth in the
delivery and management of services and the development of policy
and that has a supportive policy and management infrastructure.
' (8) 'Wraparound' means a definable, team-based planning
process involving a youth and the youth's family that results in
a unique set of community services and services and supports
individualized for that youth and family to achieve a set of
positive outcomes.
' (9) 'Youth' means an individual 18 years of age or younger.
' { + SECTION 2. + } { + Partner agencies shall participate
in a wraparound initiative based upon all of the following core
values and principles:
' (1) Family and youth perspectives must be intentionally
elicited and prioritized during all system of care and wraparound
initiative activities.
' (2) The system of care must:
' (a) Include prevention and early intervention services as
well as address the complex needs of the identified population;
' (b) Value youth as experts, respect their voice and treat
youth as equal partners in creating system change at the
individual, community and state levels;
' (c) Give families the primary decision-making role in the
mental health care of their youth as well as in developing
policies and procedures governing the care of all youth in their
community and in this state including:
' (A) Choosing services and supports and service providers;
' (B) Setting goals for youth;
' (C) Designing and implementing programs for youth;
' (D) Monitoring outcomes for youth; and
' (E) Evaluating the effectiveness of all efforts to promote
the mental health and well-being of youth;
' (d) Offer peer-delivered services within the array of
services and supports available to meet the needs of youth and
families;
' (e) Be community based and include community partners, one of
which must be a family-run organization with the ability to
provide peer-delivered services and supports and participate in
the system of care coordination and decision-making;
' (f) Create a community of support for each youth and family
that honors the youth and family's sense of its own culture;
' (g) Ensure that individuals are treated respectfully,
compassionately and effectively in a manner that recognizes,
affirms and values the worth of youth, families and communities;
' (h) Protect and preserve the dignity of youth, families and
communities; and
' (i) Provide a means for eliciting feedback from individuals
affected by the system of care regarding whether the individuals
perceive that they are being treated respectfully,
compassionately, effectively and with dignity. + }
' { + SECTION 3. + } { + To the extent practicable within
available resources, by the year 2015 partner agencies,
individually and collectively, shall:
' (1) Implement and sustain the wraparound initiative by:
' (a) Connecting services and supports, including
peer-delivered services and supports, across the lifespan and all
social, emotional, cognitive and physical developmental stages.
' (b) Building local governance structures to implement systems
of care at the local level that conform to the core values and
principles described in section 2 of this 2009 Act.
' (c) Managing care through system coordination at the local
level.
' (d) Storing coordinated service-related information in an
electronic record.
' (e) Establishing an array of services and supports that is
readily accessible by the identified population and their
families.
' (f) Authorizing services and supports that are based on the
strengths and needs of the individual youth.
' (g) Supporting communities in the expansion of creative
services and supports to suit local needs.
' (h) Establishing a workforce development process to translate
policy into practice efficiently and effectively for improved
accessibility and delivery of services and supports.
' (i) Establishing key roles and responsibilities among
multiple partner agencies, community partners and family-run
organizations involved in the system of care.
' (j) Establishing at least three local system of care sites.
' (2) Ensure cultural competence in the provision of services
by:
' (a) Implementing uniform standards to allow state and local
agencies to describe the culturally appropriate services and
supports available in a system of care.
' (b) Providing youth and families with understandable and
effective system of care services in a manner compatible with
their cultural beliefs, practices, literacy skills and language.
' (c) Developing and implementing a process to review practices
accepted by diverse communities.
' (d) Identifying ways to continually improve culturally
competent system of care services and implementing a statewide
system of care that reflects culturally competent practices.
' (3) Collect and evaluate data by:
' (a) Creating one or more committees to review and select
outcome or performance measures and benchmarks for the wraparound
initiative.
' (b) Creating standard agreements for sharing data without
compromising confidentiality.
' (c) Supporting the acquisition of information technology that
allows local entities to share real-time data and that allows the
state to evaluate the quality, accountability and success of
local implementation and the wraparound initiative as a whole.
' (d) Implementing workforce development strategies designed to
maximize efficiencies and the sharing of knowledge across
systems, and achieve identified outcomes and performance
measures. + }
' { + SECTION 4. + } { + Agencies participating in the
wraparound initiative described in section 2 of this 2009 Act
shall have the authority to:
' (1) Combine state, federal and private resources into a
single funding pool to support implementation of a system of care
and integrated service delivery at the local level.
' (2) Seek federal approval or waiver of federal requirements
as necessary to facilitate the pooling of resources under this
section.
' (3) In collaboration, adopt rules to implement the wraparound
initiative. + }
' { + SECTION 5. + } { + (1) There is established the
Children's Wraparound Initiative Advisory Committee consisting of
members representing:
' (a) Partner agencies;
' (b) Local service providers;
' (c) Youth and the family of youth who have current or past
involvement with at least two partner agencies; and
' (d) Organizations that advocate for youth.
' (2) The majority of members of the committee shall be
representatives of youth or the family of youth and advocacy
organizations.
' (3) The committee shall advise and assist in the
implementation of the wraparound initiative described in section
2 of this 2009 Act.
' (4) The Department of Human Services, in consultation with
the committee, shall report biennially to the Governor and the
Legislative Assembly on the progress toward and projected costs
of full implementation of the wraparound initiative. + } ' .
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